| Xpress Neurodiagnostic Llc | |
|
3719 E Louise Dr Phoenix AZ 85050-8314 | |
| (623) 328-7087 | |
| Not Available |
| Full Name | Xpress Neurodiagnostic Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Epilepsy |
| Location | 3719 E Louise Dr, Phoenix, Arizona |
| Authorized Official Name and Position | Aziz Mallik (MEMBER) |
| Authorized Official Contact | 6232383889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Xpress Neurodiagnostic Llc 12409 W Indian School Rd Ste A108 Avondale AZ 85392-9503 Ph: (623) 238-3889 | Xpress Neurodiagnostic Llc 3719 E Louise Dr Phoenix AZ 85050-8314 Ph: (623) 328-7087 |
| NPI Number | 1578381158 |
|---|---|
| Provider Enumeration Date | 10/01/2024 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578381158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084E0001X | Psychiatry & Neurology - Epilepsy | (* (Not Available)) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
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