Organization
NEURO DX SERVICES LLC
Active
Organization
NEURO DX SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE S PETRYK DC,DACNB,FACFN,FABES (PRESIDENT)
(239) 482-0300
Entity
Organization
Contact information
Practice address
8801 COLLEGE PKWY, SUITE 2, FORT MYERS, FL 33919-4882
(239) 482-0300
(239) 482-4757
Mailing address
15880 SUMMERLIN RD STE 300, PMB 106, FORT MYERS, FL 33908-9613
(239) 482-0300
(239) 482-4757
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
CH8431
FL
204R00000X
Electrodiagnostic Medicine Physician
Primary
OS7123
FL
208D00000X
General Practice Physician
OS7123
FL
293D00000X
Physiological Laboratory
—
FL
Other
Enumeration date
09/25/2009
Last updated
06/14/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up