Neurotech, LLC
Physiological Laboratory · Springfield, IL
Practice location
386 S. Koke Mill RoadSuite I
Springfield, IL 62711
- Phone
- (262) 875-6631
NPI record
- NPI
- 1780258343
- Entity type
- Organization (Type 2)
- Enumeration date
- May 18, 2021
- Last updated
- May 18, 2021
- Certified
- April 23, 2021
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X |
— | — |
| EEG Technician | 2472E0500X |
— | — |
| 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
Authorized official
- Name
- Kristine Lisa Wildner
- Title
- Director of Contracting and Researc
- 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 386 S. Koke Mill Road, Suite I, Springfield, IL 62711. The NPI number 1780258343 was assigned on May 18, 2021 and the record was last updated on May 18, 2021.
The authorized official for this organization is Kristine Lisa Wildner, Director of Contracting and Researc.
Frequently asked questions
What is the NPI number of Neurotech, LLC?
The NPI number is 1780258343.
What is the phone number of Neurotech, LLC?
The phone number listed for the practice location is (262) 875-6631.
Where is Neurotech, LLC located?
386 S. Koke Mill Road, Suite I, Springfield, IL 62711.
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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