| NPI | 1174916522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK LUEKENGA CEO Owner 855-864-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2023-01-19 |