Organization
ADVANCED NEURODIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAROLYN L WITCHER R. EEG T, CNIM, CLTM (OWNER)
(702) 373-8101
Entity
Organization
Contact information
Practice address
601 S RANCHO DR, SUITE A-4, LAS VEGAS, NV 89106-4899
(702) 258-3315
(702) 583-7920
Mailing address
8550 W CHARLESTON BLVD, 102-171, LAS VEGAS, NV 89117-9210
(702) 258-3315
(702) 583-7920
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538393004
—
NV
Enumeration date
05/12/2009
Last updated
12/21/2016
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