| NPI | 1861028854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENT BROERS Owner 954-849-4648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other, EEG |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 261Q00000X Clinic/Center | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 293D00000X Physiological Laboratory | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2024-01-30 |