Neurovative Diagnostics LLC
NPI 1114380102ActiveOrganization· Physiological Laboratory· Dallas, TX
Physiological Laboratory in Dallas, Texas, registered in NPPES in March 2016. The authorized official on file is Anthony Darrel Wax, Ceo. Medicare paid $876,475 for services to 323 patients in 2024.
Overview
| NPI | 1114380102 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2016 |
| Last updated in NPPES | Jan 25, 2023 |
| Certified by provider | Jan 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 323 |
|---|---|
| Services billed | 1,530 across 13 procedure codes |
| Paid by Medicare | $876,475 |
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All 36 Physiological Laboratory providers in Dallas · All Physiological Laboratory providers in Texas