| NPI | 1265212914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE PATMORE Owner 810-588-7832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |