| Organization Name: | NEUROMED ELECTRODIAGNOSTIC INC |
| NPI Number: | 1033294038 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALFRED KESHISHIANS (OWNER CEO) |
| Mailing Address: | 2501 W Burbank Blvd 300 Burbank |
| State: | CA US |
| Postal Code: | 915052347 |
| Phone Number: | 8185576455 |
| Fax Number: | 8185576491 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 10/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | G64157 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |