| NPI | 1639681166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY BEARDEN Director 303-929-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2026-06-11 |