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NEURO EDX, LLC
NPI 1407347743
Electrodiagnostic Medicine in Royal Oak, MI

Active since May 22, 2018
29488 WOODWARD AVENUE, SUITE 429, ROYAL OAK, MI 48073(678) 780-6242(877) 711-7411 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2024, Jun 27, 2018, May 22, 2018 (3 updates tracked since 2018).

About Neuro Edx, Llc NPPES

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

NEURO EDX, LLC (NPI 1407347743) is a healthcare organization registered as an electrodiagnostic medicine in Royal Oak, Michigan and active in the NPI registry since May 2018. The organization lists George Petryk, Manager, as its authorized official.

NPPES Registry Identity

NPI1407347743
Entity TypeOrganization
Primary Taxonomy204R00000X
Legal Business NameNEURO EDX, LLC
Location Address29488 WOODWARD AVENUE, SUITE 429Royal Oak, MI 48073
Mailing Address7270 Matt Hwy Ste 502-125Cumming, GA 30028 · (678) 780-6242
Phone(678) 780-6242
Fax(877) 711-7411
Organization SubpartNo
Authorized OfficialGeorge PetrykManager · (678) 780-6242
Enumeration DateMay 22, 2018
Last NPPES UpdateFebruary 5, 20243 updates tracked since enumeration
NPPES CertifiedMarch 18, 2022
✔ NPI 1407347743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyElectrodiagnostic MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204R00000X
Definition
Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics.
29488 WOODWARD AVENUE, Royal Oak, MI 48073
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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

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 Neuro Edx, LLC's NPI number?

The NPI number for Neuro Edx, LLC is 1407347743. It was assigned to this organization in the NPPES registry on May 22, 2018.

Where is Neuro Edx, LLC located?

Neuro Edx, LLC is located at 29488 Woodward Avenue Suite 429, Royal Oak, MI 48073. The listed phone number is (678) 780-6242.

What is Neuro Edx, LLC's specialty?

The primary specialty registered for this NPI is Electrodiagnostic Medicine with taxonomy code 204R00000X.

When was this NPI record last updated?

The NPPES record for Neuro Edx, LLC was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.