Montlake Diagnostics, Pllc

LBN: Montlake Diagnostics, Pllc
Montlake Diagnostics, Pllc is an health care organization with primary practice located at 1819 N Main Ave # 218 , San Antonio TX 78212-3941. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is the primary health care specialty. Montlake Diagnostics, Pllc can be contacted via phone (210) 714-5532, or through Tisdall, William Alec via phone (210) 714-5532.

Contact Information

Primary practice address
1819 N Main Ave # 218 San Antonio TX 78212-3941
Phone: (210) 714-5532
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tisdall, William Alec Doctor of Medicine (MD)
Phone: (210) 714-5532

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1760841258
LBN Legal business name Montlake Diagnostics, Pllc
DBA Doing business as
Authorized official Tisdall, William Alec Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2016
Last updated Nov 16th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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