# PROFESSIONAL INTERPRETIVE NEURODIAGNOSTICS, LLC

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

## Provider details

- **NPI number:** 1295359602
- **Authorized official:** MR. KEITH A THOMAS (CEO)
- **Authorized official phone:** (770) 616-3401

## Contact information

- **Practice address:** 1001 VILLAGE PARK DRIVE, SUITE 106, GREENSBORO, GA 30642-5326
- **Practice address phone:** (762) 445-1600
- **Practice address fax:** (762) 445-1611
- **Mailing address:** 1001 VILLAGE PARK DRIVE, SUITE 106, GREENSBORO, GA 30642-5326
- **Mailing address phone:** (762) 445-1600
- **Mailing address fax:** (762) 445-1611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2020
- **Last updated:** 07/22/2025