| NPI | 1366024929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE LISA WILDNER Director Of Contracting And Researc 262-875-6572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2472E0500X Technician, Other EEG |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |