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

Neuro Source Diagnostics, Inc

Organization Clinic/Center · NPI 1083031496

Neuro Source Diagnostics, Inc is a Clinic/Center in Philadelphia, Pennsylvania. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9276 Jamison Ave Unit A
Philadelphia, PA 19115-4281
Phone: (215) 460-7475
Fax: (215) 677-2073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1083031496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Rossien — Owner · (215) 460-7475
NPI enumeratedMarch 24, 2014
Last updated in NPPESMarch 25, 2014
Mailing address9276 Jamison Ave, Unit A, Philadelphia, PA 19115-4281

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