Organization
CLEARWATER NEURODIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW KLEIN CNIM (PRINCIPAL)
(850) 322-6794
Entity
Organization
Contact information
Practice address
407 S AURORA AVE, CLEARWATER, FL 33765-3525
(850) 322-6794
Mailing address
690 MAIN ST UNIT 822, SAFETY HARBOR, FL 34695-3551
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
01/16/2020
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