| NPI | 1235404260 |
|---|---|
| Doing Business As | ION NEURO-DIAGNOSTICS |
| Entity Type | Organization |
| Authorized Contact | JEHAN C PROVIDENZA CEO 817-297-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2018-01-16 |