NEUROPHYSIOLOGY DIAGNOSTIC CENTER LLC
NPI 1720637317
Physiological Laboratory in Tampa, FL

Active since September 06, 2019
4102 N MACDILL AVE UNIT B, TAMPA, FL 33607(813) 871-2853(813) 877-1609 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2019, Sep 6, 2019 (2 updates tracked since 2019).

About Neurophysiology Diagnostic Center Llc NPPES

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

NEUROPHYSIOLOGY DIAGNOSTIC CENTER LLC (NPI 1720637317) is a healthcare organization registered as a physiological laboratory in Tampa, Florida and active in the NPI registry since September 2019. The organization lists Rafael Miguel Rodriguez, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1720637317
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameNEUROPHYSIOLOGY DIAGNOSTIC CENTER LLC
Location Address4102 N MACDILL AVE UNIT BTampa, FL 33607-6717
Mailing Address4102 N Macdill Ave Unit BTampa, FL 33607-6717 · (813) 871-2853 · Fax (813) 877-1609
Fax(813) 877-1609
Organization SubpartNo
Authorized OfficialRafael Miguel RodriguezManager/owner · (813) 871-2853
Enumeration DateSeptember 6, 2019
Last NPPES UpdateSeptember 9, 20192 updates tracked since enumeration
NPI 1720637317 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.
4102 N MACDILL AVE UNIT B, Tampa, FL 33607

Other Identifiers 1

Other293D00000XTaxonomy

Other Providers at the Same Location NPPES

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

Clinic/Center (Infusion Therapy)
4102 N MACDILL AVE UNIT B
TAMPA, FL 33607

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 Neurophysiology Diagnostic Center LLC's NPI number?

The NPI number for Neurophysiology Diagnostic Center LLC is 1720637317. It was assigned to this organization in the NPPES registry on September 6, 2019.

Where is Neurophysiology Diagnostic Center LLC located?

Neurophysiology Diagnostic Center LLC is located at 4102 N Macdill Ave Unit B, Tampa, FL 33607. The listed phone number is (813) 871-2853.

What is Neurophysiology Diagnostic Center LLC'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 Neurophysiology Diagnostic Center LLC was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.