Organization
NEURODIAGNOSTICS, INC.
Active
Other names
Synaps Dx
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL P. TANICO (OWNER)
(301) 294-7026
Entity
Organization
Contact information
Practice address
12441 PARKLAWN DR STE 2A, ROCKVILLE, MD 20852-2180
(301) 294-7026
Mailing address
12441 PARKLAWN DR STE 2A, ROCKVILLE, MD 20852-2180
(301) 294-7026
(301) 576-8629
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21D2130277
FEDERAL CLIA NUMBER
—
Enumeration date
11/25/2019
Last updated
05/01/2024
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