Brain Mapping And Computerized Neurophsiology Laboratory, Inc

LBN: Brain Mapping And Computerized Neurophsiology Laboratory, Inc
Brain Mapping And Computerized Neurophsiology Laboratory, Inc is an health care organization with primary practice located at 1 Randall Sq Suite 409, Providence RI 02904-2709. The organization recently has only one registered license in Laboratories / Physiological Laboratory, which is considered as the primary health care specialty. Brain Mapping And Computerized Neurophsiology Laboratory, Inc can be contacted via phone (401) 274-5150, or through Wishik, Jeffrey M via phone (401) 274-5150.

Contact Information

Primary practice address
1 Randall Sq Suite 409 Providence RI 02904-2709
Phone: (401) 274-5150
Fax: (401) 274-2130
Website:
Map and Directions
Authorized official contact:
Name: Wishik, Jeffrey M Doctor of Medicine (MD)
Phone: (401) 274-5150

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1720136419
LBN Legal business name Brain Mapping And Computerized Neurophsiology Laboratory, Inc
DBA Doing business as
Authorized official Wishik, Jeffrey M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Oct 3rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720136419 NPPES
Rhode Island MEDICAID 9000330

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