Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Interra SW Diagnostics LLC

Organization Neurology Physician · NPI 1013669381

Interra SW Diagnostics LLC is a Neurology Physician in West Hartford, Connecticut. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Memorial Rd
West Hartford, CT 06107-2208
Phone: (864) 315-2627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1013669381
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Khouri — Sole Member · (803) 917-8378
NPI enumeratedJanuary 19, 2022
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 17, 2022
Mailing address1 Memorial Rd, West Hartford, CT 06107-2208

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