Massachusetts Neurodiagnostics, LLC
NPI 1063956555ActiveOrganization· Physiological Laboratory· Danvers, MA
Physiological Laboratory in Danvers, Massachusetts, registered in NPPES in December 2016, part of Alliance Family of Companies, LLC. The authorized official on file is Charles Alvarez, Ceo. Enrolled in Medicare as part b supplier - independent diagnostic testing facility (idtf).
Overview
| NPI | 1063956555 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Alliance Family of Companies, LLC |
| NPI issued | Dec 19, 2016 |
| Last updated in NPPES | Apr 29, 2026 |
| Certified by provider | Apr 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
| Clinic/Center, Sleep Disorder Diagnostic | 261QS1200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (MA) |
|---|