NPI | 1780258343 |
---|---|
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 | 2472E0500X Technician, Other, EEG |
261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
Enumeration Date | 2021-05-18 |
Last Update Date | 2021-05-18 |