Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
EEG |
2472E0500X | 75 | Slide Preparation Facility |
| NPI # | 1821559451 |
| LBN Legal business name | NEUROTRACK LLC |
| Authorized official | KAREN AVANESOV - (OWNER OF NEUROTRACK) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/27/2019 |
| Last updated | 03/27/2019 - About 7 years ago |
| Identifiers | n/a |
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