| NPI | 1154031375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGITH MUTHALALY Owner 616-843-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2024-05-08 |