Organization
NEUROLOGIA DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYDIN MORADIAN (CHIEF EXECUTIVE OFFICER)
(651) 641-2836
Entity
Organization
Contact information
Practice address
2575 UNIVERSITY AVE W, SUITE 100, SAINT PAUL, MN 55114-1073
(651) 641-1770
(651) 641-1773
Mailing address
2575 UNIVERSITY AVE W, SUITE 100, SAINT PAUL, MN 55114-1073
(651) 641-1770
(651) 641-1773
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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