Organization · NPI-2
Neurowave Diagnostics, LLC
Physiological Laboratory · Yakima, WA
NPI number1508683616
StatusActive
Last updated in NPPESDec 13, 2024
Details
- NPI
- 1508683616
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurowave Diagnostics, LLC
- Organization subpart
- No
- Enumeration date
- Sep 21, 2024
- Certification date
- Dec 13, 2024
- Last updated
- Dec 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
| 246ZE0500X | Specialist/Technologist, Other, EEG | – | – |
Practice location
2807 W Washington Ave Ste 135Yakima, WA 98903-1367
Phone 509-823-8266
Mailing address
2807 W Washington Ave Ste 135 Box 1Yakima, WA 98903-1367
Phone 509-388-1884
Authorized official
Amy Huffines
Owner
5093881884
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