NPI Profile for SPINE LINK MEDICAL INC in RANCHO CUCAMONGA, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Electroneurodiagnostic |
246ZE0600X | |||
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
EEG |
2472E0500X | 75 | Slide Preparation Facility | |
EEG |
246ZE0500X | |||
Phlebotomy |
246RP1900X | |||
Physician Office Based Coding Specialist |
246YC3302X | |||
Point of Service |
305S00000X | |||
Preferred Provider Organization |
305R00000X | |||
Specialist |
174400000X | |||
Technician, Other |
247200000X | 75 | Slide Preparation Facility |
| NPI Number | 1902274509 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/14/2015 | |
| Last updated | 09/14/2015 - About 11 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SPINE LINK MEDICAL, INC.
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