SCOTTSDALE PROFESSIONAL LLC
NPI 1790217792
Specialist/Technologist, Other - Electroneurodiagnostic in Queen Creek, AZ

Active since March 29, 2017
18521 E QUEEN CREEK RD, STE 105-161, QUEEN CREEK, AZ 85142(720) 503-5711(602) 926-8841 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 25, 2017, Mar 29, 2017 (2 updates tracked since 2017).

  • Organization
  • Specialist/Technologist, Other
  • Electroneurodiagnostic

About SCOTTSDALE PROFESSIONAL LLC

This page provides the complete NPI Profile along with additional information for Scottsdale Professional Llc, a provider established in Queen Creek, Arizona operating as a Specialist/technologist, Other, focusing in electroneurodiagnostic . The healthcare provider is registered in the NPI registry with number 1790217792 assigned on March 2017. The practitioner's primary taxonomy code is 246ZE0600X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kathy Reed (Manager)

NPI
1790217792 Verify this NPI
Provider Name
SCOTTSDALE PROFESSIONAL LLC
Entity Type
Organization
Location Address
18521 E QUEEN CREEK RD STE 105-161 QUEEN CREEK, AZ 85142
Location Phone
(720) 503-5711
Location Fax
(602) 926-8841
Mailing Address
PO BOX 96 MILAM, TX 75959
Mailing Phone
(225) 588-4845
Mailing Fax
(602) 926-8841
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2017
Last Update Date
05-01-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist, Other Electroneurodiagnostic

Taxonomy Code
246ZE0600X
Type
Technologists, Technicians & Other Technical Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHY REED

Authorized Official Title
MANAGER
Authorized Official Phone
(720) 503-5711

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Behavior Analyst
18521 E QUEEN CREEK RD, SUTE 105-627
QUEEN CREEK, AZ 85142
Behavior Analyst
18521 E QUEEN CREEK RD, SUITE 105-627
QUEEN CREEK, AZ 85142
Behavior Analyst
18521 E QUEEN CREEK RD, SUITE 105-627
QUEEN CREEK, AZ 85142
Specialist/Technologist, Other (Electroneurodiagnostic)
18521 E QUEEN CREEK RD, STE 105-161
QUEEN CREEK, AZ 85142
Behavior Technician
18521 E QUEEN CREEK RD
QUEEN CREEK, AZ 85142
Behavior Analyst
18521 E QUEEN CREEK RD
QUEEN CREEK, AZ 85142
Behavior Technician
18521 E QUEEN CREEK RD
QUEEN CREEK, AZ 85142
Behavior Technician
18521 E QUEEN CREEK RD
QUEEN CREEK, AZ 85142
Behavior Technician
18521 E QUEEN CREEK RD, SUITE 105-627
QUEEN CREEK, AZ 85142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790217792, enumerated as an "organization" on March 29, 2017.

The provider is located at 18521 E QUEEN CREEK RD STE 105-161 QUEEN CREEK, AZ 85142 and the phone number is (720) 503-5711.

Specialist/Technologist, Other with taxonomy code 246ZE0600X and a focus in Electroneurodiagnostic.