Deactivation Date: 3/31/2023
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Biostatistician |
246ZB0600X |
| NPI Number | 1689046880 |
| LBN Legal business name | PRIME NEURODIAGNOSTICS, LLC |
| Authorized official | KATRINA KROM - (OPERATIONS MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/27/2015 |
| Last updated | 10/27/2015 - About 11 years ago |
| Identifiers | n/a |
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