| NPI | 1831567775 |
|---|---|
| Other Name | NEUROTECH IDAHO |
| Entity Type | Organization |
| Authorized Contact | LANCE MORGAN Director Of Operations 262-754-0898 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2472E0500X Technician, Other, EEG |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2022-07-21 |