NEUROWAVE DIAGNOSTICS, LLC
NPI 1760704522
Specialist/Technologist, Other - Electroneurodiagnostic in Tucker, GA

Active since February 22, 2010
2227 IDLEWOOD RD, SUITE 400, TUCKER, GA 30084(770) 557-0885(770) 557-0315 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neurowave Diagnostics, Llc NPPES

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

NEUROWAVE DIAGNOSTICS, LLC (NPI 1760704522) is a healthcare organization registered as an electroneurodiagnostic in Tucker, Georgia and active in the NPI registry since February 2010. The organization lists Fannie Clark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760704522
Entity TypeOrganization
Primary Taxonomy246ZE0600X
Legal Business NameNEUROWAVE DIAGNOSTICS, LLC
Location Address2227 IDLEWOOD RD, SUITE 400Tucker, GA 30084-4827
Mailing AddressPo Box 930905Norcross, GA 30003-0905 · (770) 557-0885 · Fax (770) 557-0315
Fax(770) 557-0315
Organization SubpartNo
Authorized OfficialFannie ClarkCeo · (770) 557-0885
Enumeration DateFebruary 22, 2010
NPI 1760704522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
2227 IDLEWOOD RD, Tucker, GA 30084

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

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
2227 IDLEWOOD RD, SUITE 2
TUCKER, GA 30084
Nurse Practitioner
2227 IDLEWOOD RD, SUITE 1
TUCKER, GA 30084
Chiropractor (Neurology)
2227 IDLEWOOD RD, SUITE 200
TUCKER, GA 30084
Internal Medicine
2227 IDLEWOOD RD
TUCKER, GA 30084

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 Neurowave Diagnostics, LLC's NPI number?

The NPI number for Neurowave Diagnostics, LLC is 1760704522. It was assigned to this organization in the NPPES registry on February 22, 2010.

Where is Neurowave Diagnostics, LLC located?

Neurowave Diagnostics, LLC is located at 2227 Idlewood Rd Suite 400, Tucker, GA 30084. The listed phone number is (770) 557-0885.

What is Neurowave Diagnostics, LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Neurowave Diagnostics, LLC was last updated on February 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.