| Neurology Neurodiagnostic Lab Llc | |
|
1004 1st St N Suite330 Alabaster AL 35007-8766 | |
| (205) 664-2967 | |
| (205) 664-9689 |
| Full Name | Neurology Neurodiagnostic Lab Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1004 1st St N, Alabaster, Alabama |
| Authorized Official Name and Position | Nasrollah Eslami (OFFICE MANAGER) |
| Authorized Official Contact | 2056642967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Neurodiagnostic Lab Llc 1004 1st St N Suite330 Alabaster AL 35007-8766 Ph: (205) 664-2967 | Neurology Neurodiagnostic Lab Llc 1004 1st St N Suite330 Alabaster AL 35007-8766 Ph: (205) 664-2967 |
| NPI Number | 1417165127 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 10/01/2008 |
| Medicare PECOS PAC ID | 8022905413 |
|---|---|
| Medicare Enrollment ID | O20040301001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417165127 | NPI | - | NPPES |
| 529918500 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 9098 (Alabama) | Primary |
| Provider Name | Nasrollah Eslami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235147232 PECOS PAC ID: 9537056932 Enrollment ID: I20040303000259 |
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