# AMBULATORY EEG RECORDINGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306892922
- **Authorized official:** LESLIE K CHASE (CEO)
- **Authorized official phone:** (262) 241-1701

## Contact information

- **Practice address:** 10325 N PORT WASHINGTON RD, SUITE 150, MEQUON, WI 53092-5764
- **Practice address phone:** (262) 241-1701
- **Practice address fax:** (262) 241-1801
- **Mailing address:** PO BOX 170602, MILWAUKEE, WI 53217-8051
- **Mailing address phone:** (262) 241-1701
- **Mailing address fax:** (262) 241-1801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 647186 | WI | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 12/11/2008