Neurotech, LLC
Physiological Laboratory · Warren, MI
Practice location
31201 Chicago Rd S Ste B301Warren, MI 48093-5570
- Phone
- (262) 875-6597
- Fax
- (262) 754-0897
NPI record
- NPI
- 1053072819
- Entity type
- Organization (Type 2)
- Enumeration date
- January 4, 2022
- Last updated
- January 4, 2022
- Certified
- January 4, 2022
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X |
— | — |
| EEG Specialist/Technologist | 246ZE0500X |
— | — |
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X |
— | — |
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X |
— | — |
Mailing address
626 W Moreland BlvdWaukesha, WI 53188-2433
- Phone
- (262) 754-0898
- Fax
- (262) 754-0897
Authorized official
- Name
- Kristine Lisa Wildner
- Title
- Director of Contracting & Research
- Phone
- (262) 875-6572
About Neurotech, LLC
Neurotech, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Physiological Laboratory (code 293D00000X). The practice location is 31201 Chicago Rd S Ste B301, Warren, MI 48093-5570. The NPI number 1053072819 was assigned on January 4, 2022 and the record was last updated on January 4, 2022.
The authorized official for this organization is Kristine Lisa Wildner, Director of Contracting & Research.
Frequently asked questions
What is the NPI number of Neurotech, LLC?
The NPI number is 1053072819.
What is the phone number of Neurotech, LLC?
The phone number listed for the practice location is (262) 875-6597.
Where is Neurotech, LLC located?
31201 Chicago Rd S Ste B301, Warren, MI 48093-5570.
What is the taxonomy code for Neurotech, LLC?
The primary taxonomy code is 293D00000X – Physiological Laboratory; 3 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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