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ROLLA NEUROLOGY, PAIN & SLEEP, LLC
NPI 1104073352
Specialist in Rolla, MO

Active since August 19, 2008CLIA 26D2057292 · Waiver
604 W 6TH ST, SUITE A, ROLLA, MO 65401(573) 341-8500(573) 341-8581 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rolla Neurology, Pain & Sleep, Llc NPPES

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

ROLLA NEUROLOGY, PAIN & SLEEP, LLC (NPI 1104073352) is a healthcare organization registered as a specialist in Rolla, Missouri and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Mohammad Akhtar Choudhary, Physician, as its authorized official.

NPPES Registry Identity

NPI1104073352
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameROLLA NEUROLOGY, PAIN & SLEEP, LLC
Location Address604 W 6TH ST, SUITE ARolla, MO 65401-2941
Mailing Address604 W 6th St, Suite ARolla, MO 65401-2941 · (573) 341-8500 · Fax (573) 341-8581
Phone(573) 341-8500
Fax(573) 341-8581
Organization SubpartNo
Authorized OfficialMohammad Akhtar ChoudharyPhysician · (573) 341-8500
Enumeration DateAugust 19, 2008
Last NPPES UpdateNovember 8, 2012
✔ NPI 1104073352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
604 W 6TH ST, Rolla, MO 65401
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Other Identifiers 2

Medicaid207629510MO
Medicare UPINI20804MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2057292

Rolla Neurology Pain & Sleep Center · Rolla, MO
Active · expires Apr 11, 2027
CLIA Number26D2057292
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorAkhtar Choudhary
Laboratory Phone(573) 341-8500
Laboratory LocationRolla Neurology Pain & Sleep Center604 W 6th Street, Rolla, MO 65401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHOUDHRYMD, LLC
Family Medicine
604 W 6TH ST
ROLLA, MO 65401
Phelps County (573) 202-3969
KENNETH E. HAMILTON, D.O., LLC
Obstetrics & Gynecology
604 W 6TH ST, B
ROLLA, MO 65401
Phelps County (573) 426-6588

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 Rolla Neurology, Pain & Sleep, LLC's NPI number?

The NPI number for Rolla Neurology, Pain & Sleep, LLC is 1104073352. It was assigned to this organization in the NPPES registry on August 19, 2008.

Where is Rolla Neurology, Pain & Sleep, LLC located?

Rolla Neurology, Pain & Sleep, LLC is located at 604 W 6th St Suite A, Rolla, MO 65401. The listed phone number is (573) 341-8500.

What is Rolla Neurology, Pain & Sleep, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Rolla Neurology, Pain & Sleep, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2057292) is associated with this NPI, valid through April 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rolla Neurology, Pain & Sleep, LLC was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.