Organization
AXON DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ANDELIN (OFFICE MANAGER)
(801) 368-5013
Entity
Organization
Contact information
Practice address
3808 N MEADOW SPRINGS LN, LEHI, UT 84043-5555
(801) 368-5013
Mailing address
3808 N MEADOW SPRINGS LN, LEHI, UT 84043-5555
(801) 368-5013
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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