IndividualActive
Jason Gambla
NPI 1093437337 · Electroneurodiagnostic Specialist/Technologist · Oak Lawn, IL
Provider details
- NPI number
- 1093437337
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
7455 W Washington Ave Ste 302
Las Vegas, NV 89128-4340
Registry dates
- Enumerated
- 2022-09-14
- Last updated
- 2022-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.