Organization
ELITE NEURODIAGNOSTICS INC.
Active
Organization
ELITE NEURODIAGNOSTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LYNN ANDERSON (CEO)
(661) 305-1029
Entity
Organization
Contact information
Practice address
5727 W AVENUE K2, LANCASTER, CA 93536-5647
(661) 305-1029
(661) 722-8333
Mailing address
5727 W AVENUE K2, LANCASTER, CA 93536-5647
(661) 305-1029
(661) 722-8333
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
2472E0500X
EEG Technician
—
—
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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