Organization
FIDELIS DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DORNER (COO)
(877) 408-2488
Entity
Organization
Contact information
Practice address
11601 WILSHIRE BLVD, SUITE 500, LOS ANGELES, CA 90025-0509
(877) 408-2488
(866) 776-6641
Mailing address
11601 WILSHIRE BLVD, SUITE 500, LOS ANGELES, CA 90025-0509
(877) 408-2488
(866) 776-6641
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/01/2006
Last updated
07/17/2007
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