| NPI | 1952874034 |
|---|---|
| Doing Business As | ELEVATED NEURO LLC |
| Entity Type | Organization |
| Authorized Contact | PHIL SANCHEZ Director 855-326-3876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| 247200000X Technician, Other | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-04-23 |