Whalio Doctors

NPI 1982063921

Braincare, LLC

Organisation Physiological Laboratory Johnston, IA

Practice location

Address
6165 NW 86th St STE 130, Johnston, IA 50131
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
1982063921
Entity type
Organization
NPI issued
18 Feb 2016
Record last updated
4 Sep 2018

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.