| NPI | 1225056252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE MORGAN Chief Operating Officer 262-754-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| 2472E0500X Technician, Other, EEG | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-04-14 |