| NPI | 1992940142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY F TRITLE President/CEO 702-374-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2017-01-11 |