| NPI | 1154720662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN COFFMAN CEO 865-257-0569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| 204R00000X Electrodiagnostic Medicine | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2016-01-19 |