Neurotech, LLC

Physiological Laboratory · Melbourne, FL

Organization Active NPI

NPI number 1902569544

Practice location

1900 S Harbor City Blvd Ste 227
Melbourne, FL 32901-4789
Phone
(262) 875-6644

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NPI record

NPI
1902569544
Entity type
Organization (Type 2)
Enumeration date
October 20, 2021
Last updated
October 20, 2021
Certified
October 20, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
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 Blvd
Waukesha, 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 1900 S Harbor City Blvd Ste 227, Melbourne, FL 32901-4789. The NPI number 1902569544 was assigned on October 20, 2021 and the record was last updated on October 20, 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 1902569544.

What is the phone number of Neurotech, LLC?

The phone number listed for the practice location is (262) 875-6644.

Where is Neurotech, LLC located?

1900 S Harbor City Blvd Ste 227, Melbourne, FL 32901-4789.

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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