Neurotech, LLC
Physiological Laboratory · Indianapolis, IN
Practice location
941 E 86TH St Ste 107Indianapolis, IN 46240-1842
- Phone
- (262) 875-6611
NPI record
- NPI
- 1790199859
- Entity type
- Organization (Type 2)
- Enumeration date
- June 17, 2014
- Last updated
- April 23, 2021
- Certified
- April 23, 2021
- Organization subpart
- Yes
- Parent organization
- Neurotech, LLC
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
- Phone
- (262) 754-0898
Authorized official
- Name
- Kristine Lisa Wildner
- Title
- Director of Contracting & Research
- Phone
- (262) 875-6572
Other names
- Neurotech Indiana
- Neurotech Indiana
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 941 E 86TH St Ste 107, Indianapolis, IN 46240-1842. The NPI number 1790199859 was assigned on June 17, 2014 and the record was last updated on April 23, 2021.
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 1790199859.
What is the phone number of Neurotech, LLC?
The phone number listed for the practice location is (262) 875-6611.
Where is Neurotech, LLC located?
941 E 86TH St Ste 107, Indianapolis, IN 46240-1842.
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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