NPI 1720136419

Brain Mapping and Computerized Neurophsiology Laboratory, INC

Organisation Physiological Laboratory Providence, RI

Practice location

Address: 1 Randall Sq Suite 409, Providence, RI 02904-2709
Phone: (401) 274-5150
Fax: (401) 274-2130

Authorised official

Name: Jeffrey M Wishik
Title: President
Phone: (401) 274-5150

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Rhode Island →

Registry record

NPI: 1720136419
Entity type: Organization
NPI issued: 8 Jan 2007
Record last updated: 3 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.