| Advanced Neurodiagnostic Center, Inc | |
|
2905 Kingman St Metairie LA 70006-6615 | |
| (504) 885-3737 | |
| (504) 885-5507 |
| Full Name | Advanced Neurodiagnostic Center, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2905 Kingman St, Metairie, Louisiana |
| Authorized Official Name and Position | Simin Mirtaheri (PRESIDENT) |
| Authorized Official Contact | 5048853737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neurodiagnostic Center, Inc 2905 Kingman St Fl 2 Metairie LA 70006-6615 Ph: (504) 885-3737 | Advanced Neurodiagnostic Center, Inc 2905 Kingman St Metairie LA 70006-6615 Ph: (504) 885-3737 |
| NPI Number | 1164570883 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 10/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164570883 | NPI | - | NPPES |
| 548670743D | Other | LA | BLUE CROSS |
| 4391937610 | Other | LA | BCBS |
| 1946613 | Medicaid | LA | |
| 435707150C | Other | LA | BCBS |
| 767164775A | Other | LA | BCBS |
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