| NPI | 1578083572 |
|---|---|
| Doing Business As | OVERWATCH NEURO |
| Entity Type | Organization |
| Authorized Contact | NICK LUEKENGA CEO 801-808-9538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-10-08 |