| NPI | 1467086181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEISHA OSBURN Chief Executive Officer 317-372-5716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-05 |