NPI | 1942795190 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINE LISA WILDNER Director Of Contracting & Research 262-875-6572 |
Organization Subpart ? | No |
Primary Taxonomy | 293D00000X Physiological Laboratory |
Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
246ZE0500X Specialist/Technologist, Other, EEG | |
261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
Enumeration Date | 2018-06-28 |
Last Update Date | 2021-11-12 |