Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thomas Michael Costello Jr., REPT, CNIM

Individual provider EEG Technician · NPI 1770064784

Thomas Michael Costello Jr., REPT, CNIM is an EEG Technician in Louisville, Kentucky. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

200 E Chestnut St
Louisville, KY 40202-1831
Phone: (502) 629-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

EEG Technician (primary) Taxonomy 2472E0500X

Record details

NPI number1770064784
Entity typeIndividual (Type 1)
GenderMale
Credentials REPT , CNIM
Sole proprietorNo
NPI enumeratedAugust 27, 2018
Last updated in NPPESAugust 27, 2018