Whalio Doctors

NPI 1053072819

Neurotech, LLC

Organisation Physiological Laboratory Warren, MI

Practice location

Address
31201 Chicago Rd S STE B301, Warren, MI 48093-5570
Phone
(262) 875-6597
Fax
(262) 754-0897
Mailing address
626 W Moreland Blvd, Waukesha, WI 53188-2433

Authorised official

Name
Kristine Lisa Wildner
Title
Director of Contracting & Research
Phone
(262) 875-6572

Registered specialties (4)

Physiological Laboratory Primary
Laboratories Taxonomy 293D00000X
EEG Specialist/Technologist
Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0500X
Sleep Disorder Diagnostic Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QS1200X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Suppliers Taxonomy 335V00000X

Registry record

NPI
1053072819
Entity type
Organization
NPI issued
4 Jan 2022
Record last updated
4 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.