| NPI | 1356776322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BLANK Contracting & Credentialing Manager 262-875-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other, EEG |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| 293D00000X Physiological Laboratory | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2025-03-12 |