| NPI | 1336734011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONY VUONG GROVE Member 913-689-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other, EEG |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-05 |