| NPI | 1821674086 |
|---|---|
| Doing Business As | IDX |
| Entity Type | Organization |
| Authorized Contact | MATTHEW RHODES Managing Member 480-542-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-03-19 |