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 |