NPI | 1083375844 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINE LISA WILDNER Director Of Contracting & Research 262-875-6572 |
Organization Subpart ? | No |
Primary Taxonomy | 293D00000X Physiological Laboratory |
Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
Enumeration Date | 2022-01-04 |
Last Update Date | 2022-01-04 |