| NPI | 1851379895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFF A. GOODRICH President 702-339-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: NV 722224244) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography (Licence: NV 722224244) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-08-22 |