Provider Demographics
NPI:1730544404
Name:NEURO PRO
Entity type:Organization
Organization Name:NEURO PRO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MERIDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:D'LOUGHY
Authorized Official - Suffix:
Authorized Official - Credentials:CNIM
Authorized Official - Phone:866-782-1184
Mailing Address - Street 1:3284 NORTHSIDE PKWY NW STE 600
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-2282
Mailing Address - Country:US
Mailing Address - Phone:866-782-1184
Mailing Address - Fax:877-241-5672
Practice Address - Street 1:3284 NORTHSIDE PKWY NW STE 600
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-2282
Practice Address - Country:US
Practice Address - Phone:866-782-1184
Practice Address - Fax:877-241-5672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty