| NPI | 1649763756 |
|---|---|
| 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 | 246ZE0500X Specialist/Technologist, Other, EEG |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2019-03-09 |