| NPI | 1972922714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROE CEO 760-270-9198 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2024-11-06 |