Whalio Doctors

NPI 1891154837

Braincare, LLC

Organisation Physiological Laboratory Dearborn, MI

Practice location

Address
3200 Greenfield Rd STE 317, Dearborn, MI 48120-1802
Phone
(866) 848-2522
Fax
(877) 290-1544
Mailing address
2670 Firewheel Dr STE B, Flower Mound, TX 75028-4601

Authorised official

Name
Janice Shock
Title
Sr Director of Operations
Phone
(866) 848-2522

Registered specialties

Physiological Laboratory Primary
Laboratories Taxonomy 293D00000X

Registry record

NPI
1891154837
Entity type
Organization
NPI issued
18 Feb 2016
Record last updated
18 Feb 2016

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.