# ATLANTIC NEURODIAGNOSTICS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154665198
- **Authorized official:** ED WOODS (BILLING MANAGER)
- **Authorized official phone:** (301) 714-1802

## Contact information

- **Practice address:** 1512 KING WILLIAM DR, BALTIMORE, MD 21228-1001
- **Practice address phone:** (443) 351-7879
- **Mailing address:** PO BOX 1610, FORT MEADE, MD 20755-3610
- **Mailing address phone:** (443) 351-7879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/15/2012