| NPI | 1619857703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER CARR Owner/President 651-492-2137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-10-16 |