Diagnostic Neuro Technology, LLC
NPI #1366475501 in Bloomington, Illinois
Provider Information
- NPI Number
- 1366475501
- Entity Type
- Organization
- Organization Name
- Diagnostic Neuro Technology, LLC
- Primary Specialty
- Radiologic Technologist
- Enumeration Date
- Jul 9, 2006
- Last Updated
- Jan 21, 2009
Practice Location
- Address
- 1015 S MERCER AVE
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-7107
- Phone
- (309) 662-7500
Authorized Official
- Name
- MR. DAVID R JONES, CPA
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (309) 662-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiologic Technologist |
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