| NPI | 1114898723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WEED Owner 954-284-3935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QR0200X Clinic/Center, Radiology | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2026-08-13 |