NPI 1336780717

Neurotech, LLC

Organisation Physiological Laboratory Green Bay, WI

Practice location

Address: 1263 Main St STE 120, Green Bay, WI 54302-1341
Phone: (262) 875-6612
Mailing address: 3232 Ridge Rd Suite 5, Lansing, IL 60438-3127

Authorised official

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

Registered specialties (4)

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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EEG Technician

Technologists, Technicians & Other Technical Service Providers Taxonomy 2472E0500X

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Sleep Disorder Diagnostic Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QS1200X

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Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Suppliers Taxonomy 335V00000X

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Registry record

NPI: 1336780717
Entity type: Organization
NPI issued: 7 Oct 2019
Record last updated: 12 Nov 2021

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.