NPI 1346784378

Braincare, LLC

Organisation Physiological Laboratory Richmond, VA

Practice location

Address: 7400 Beaufont Springs Dr STE 300 (unit 346), Richmond, VA 23225
Phone: (866) 848-2522
Fax: (877) 290-1544
Mailing address: 2670 Firewheel Dr STE B, Flower Mound, TX 75028-4601

Authorised official

Name: Janice Shock
Title: Sr Director of Operations
Phone: (866) 848-2522

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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Registry record

NPI: 1346784378
Entity type: Organization
NPI issued: 9 Dec 2016
Record last updated: 4 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.