| NPI | 1871000588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN SHINN VP 303-704-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2022-12-08 |