| NPI | 1902274509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE WRIGHT CEO 909-373-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 174400000X Specialist |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based | |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| 247200000X Technician, Other | |
| 2472E0500X Technician, Other, EEG | |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |