NPI | 1811365414 |
---|---|
Entity Type | Organization |
Authorized Contact | JOE WRIGHT CEO 909-373-4633 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
Additional Taxonomies | 174400000X Specialist |
246RP1900X Technician, Pathology, Phlebotomy | |
246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based | |
247200000X Technician, Other | |
2472E0500X Technician, Other, EEG | |
305R00000X Preferred Provider Organization | |
305S00000X Point of Service | |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
Enumeration Date | 2015-09-14 |
Last Update Date | 2015-09-14 |