| NPI | 1669719944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L DRISCOLL Member 317-513-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG (Licence: IN 4895) |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2024-10-14 |