Provider Demographics
NPI:1730367731
Name:CLINICAL NEUROPHYSIOLOGICAL SERVICES, LLC
Entity type:Organization
Organization Name:CLINICAL NEUROPHYSIOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCLABASSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:412-681-9990
Mailing Address - Street 1:5001 BAUM BLVD
Mailing Address - Street 2:SUITE 530
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1853
Mailing Address - Country:US
Mailing Address - Phone:412-681-9990
Mailing Address - Fax:412-681-9994
Practice Address - Street 1:5001 BAUM BLVD
Practice Address - Street 2:SUITE 530
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1853
Practice Address - Country:US
Practice Address - Phone:412-681-9990
Practice Address - Fax:412-681-9994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty