INTERRA SW DIAGNOSTICS LLC
NPI 1013669381
Psychiatry & Neurology - Neurology in West Hartford, CT

Q: What is Interra SW Diagnostics LLC's NPI number?

The NPI number for Interra SW Diagnostics LLC is 1013669381. It was assigned to this organization in the NPPES registry on January 19, 2022.

Q: What is Interra SW Diagnostics LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since January 19, 2022

1 MEMORIAL RD, WEST HARTFORD, CT 06107(864) 315-2627 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Interra Sw Diagnostics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERRA SW DIAGNOSTICS LLC (NPI 1013669381) is a healthcare organization registered as a neurology in West Hartford, Connecticut and active in the NPI registry since January 2022. The organization lists George Khouri, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1013669381

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameINTERRA SW DIAGNOSTICS LLC

Location Address1 MEMORIAL RDWest Hartford, CT 06107-2208

Mailing Address1 Memorial RdWest Hartford, CT 06107-2208

Phone(864) 315-2627

Organization SubpartNo

Authorized OfficialGeorge KhouriSole Member · (803) 917-8378

Enumeration DateJanuary 19, 2022

NPPES CertifiedJanuary 17, 2022

✔ NPI 1013669381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1 MEMORIAL RD, West Hartford, CT 06107

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Interra SW Diagnostics LLC's NPI number?

The NPI number for Interra SW Diagnostics LLC is 1013669381. It was assigned to this organization in the NPPES registry on January 19, 2022.

Where is Interra SW Diagnostics LLC located?

Interra SW Diagnostics LLC is located at 1 Memorial Rd, West Hartford, CT 06107. The listed phone number is (864) 315-2627.

What is Interra SW Diagnostics LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Interra SW Diagnostics LLC was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.