Organization
ACADIAN IOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DELONG (NPI REPRESENTATIVE)
(210) 598-2800
Entity
Organization
Contact information
Practice address
201 SAINT CHARLES AVE STE 114, #225, NEW ORLEANS, LA 70170-0114
(504) 517-1400
Mailing address
201 SAINT CHARLES AVE STE 114, #225, NEW ORLEANS, LA 70170-0114
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
04/05/2017
Last updated
11/17/2017
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