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

Neurovative Diagnostics LLC

Organization Physiological Laboratory · NPI 1114380102

Neurovative Diagnostics LLC is a Physiological Laboratory in Dallas, Texas. Registered with an NPI since 2016.

In the registry since
2016
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

16800 Dallas Pkwy Ste 175
Dallas, TX 75248-1941
Phone: (972) 361-8040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physiological Laboratory (primary) Taxonomy 293D00000X

Record details

NPI number1114380102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Wax — Ceo · (214) 802-1078
NPI enumeratedMarch 29, 2016
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing address16800 Dallas Pkwy Ste 175, Dallas, TX 75248-1941

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