| Minnesota Neurodiagnostics, Llc | |
|
860 Blue Gentian Rd Ste. 200 Office 203 Eagan MN 55121-1564 | |
| (469) 995-8416 | |
| (866) 279-4704 |
| Full Name | Minnesota Neurodiagnostics, Llc |
|---|---|
| Speciality | Physiological Laboratory |
| Location | 860 Blue Gentian Rd, Eagan, Minnesota |
| Authorized Official Name and Position | Conor Butts (PRESIDENT AND COO) |
| Authorized Official Contact | 4699958416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Neurodiagnostics, Llc 4545 Fuller Dr Suite 100 Irving TX 75038-6530 Ph: (469) 995-8416 | Minnesota Neurodiagnostics, Llc 860 Blue Gentian Rd Ste. 200 Office 203 Eagan MN 55121-1564 Ph: (469) 995-8416 |
| NPI Number | 1801331343 |
|---|---|
| Provider Enumeration Date | 12/19/2016 |
| Last Update Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801331343 | NPI | - | NPPES |
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