BRAIN MAPPING AND COMPUTERIZED NEUROPHSIOLOGY LABORATORY, INC
NPI 1720136419
Physiological Laboratory in Providence, RI

Q: What is Brain Mapping And Computerized Neurophsiology Laboratory, Inc's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

Active since January 08, 2007

1 RANDALL SQ, SUITE 409, PROVIDENCE, RI 02904(401) 274-5150(401) 274-2130 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brain Mapping And Computerized Neurophsiology Laboratory, Inc NPPES

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

BRAIN MAPPING AND COMPUTERIZED NEUROPHSIOLOGY LABORATORY, INC (NPI 1720136419) is a healthcare organization registered as a physiological laboratory in Providence, Rhode Island and active in the NPI registry since January 2007. The organization lists Jeffrey M Wishik, President, as its authorized official.

NPPES Registry Identity

NPI1720136419

Entity TypeOrganization

Primary Taxonomy293D00000X

Legal Business NameBRAIN MAPPING AND COMPUTERIZED NEUROPHSIOLOGY LABORATORY, INC

Location Address1 RANDALL SQ, SUITE 409Providence, RI 02904-2709

Mailing Address1 Randall Sq, Suite 409Providence, RI 02904-2709 · (401) 274-5150 · Fax (401) 274-2130

Phone(401) 274-5150

Fax(401) 274-2130

Organization SubpartNo

Authorized OfficialJeffrey M WishikPresident · (401) 274-5150

Enumeration DateJanuary 8, 2007

Last NPPES UpdateOctober 3, 2012

✔ NPI 1720136419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories

Taxonomy Code293D00000X

Definition

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

1 RANDALL SQ, Providence, RI 02904

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Other Identifiers 2

Medicare ID-Type Unspecified139000330RI

Medicaid9000330RI

Other Providers at the Same Location NPPES 20

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

PHINA A MAYU NP

Nurse Practitioner (Adult Health)

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

MAYELIN PACHECO NUNEZ NP

Nurse Practitioner (Family)

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

STANLEY H. BLOCK MD

Allergy & Immunology

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 444-0414

DR. JAMES J YASHAR M.D

Specialist

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (140) 196-5777

THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC

Clinic/Center (Federally Qualified Health Center (FQHC))

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

PAUL W WEHBE MD

Pediatrics

1 RANDALL SQ, SUITE 404-406
PROVIDENCE, RI 02904

Providence County (401) 861-5183

CARDIOLOGY CONSULTANTS, LLC

Internal Medicine (Cardiovascular Disease)

1 RANDALL SQ, SUITE 305
PROVIDENCE, RI 02904

Providence County (401) 223-0223

BRIANA J. WALSH NP

Nurse Practitioner (Family)

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

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 Brain Mapping And Computerized Neurophsiology Laboratory, Inc's NPI number?

The NPI number for Brain Mapping And Computerized Neurophsiology Laboratory, Inc is 1720136419. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Brain Mapping And Computerized Neurophsiology Laboratory, Inc located?

Brain Mapping And Computerized Neurophsiology Laboratory, Inc is located at 1 Randall Sq Suite 409, Providence, RI 02904. The listed phone number is (401) 274-5150.

What is Brain Mapping And Computerized Neurophsiology Laboratory, Inc's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Brain Mapping And Computerized Neurophsiology Laboratory, Inc was last updated on October 3, 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.