Provider Demographics
NPI:1730962382
Name:NEUROASSIST IOM, LLC
Entity type:Organization
Organization Name:NEUROASSIST IOM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/TECHNOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KNAKE
Authorized Official - Suffix:
Authorized Official - Credentials:CNIM
Authorized Official - Phone:210-760-2967
Mailing Address - Street 1:286 HOLLY DRIVE
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410
Mailing Address - Country:US
Mailing Address - Phone:210-760-2967
Mailing Address - Fax:
Practice Address - Street 1:286 HOLLY DRIVE
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:210-760-2967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty