| Organization Name: | COCHISE COUNTY NEURODIAGNOSTICS |
| NPI Number: | 1053602987 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDALEE A MCINTYRE (OWNER) |
| Mailing Address: | 2160 E Fry Blvd Ste C5 Sierra Vista |
| State: | AZ US |
| Postal Code: | 856352794 |
| Phone Number: | 5203357135 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2011 |
| NPI Last Update Date: | 04/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | 8867 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |