NPI 1598407488

Neurotech Northwest, LLC

Organisation Physiological Laboratory Yakima, WA

Practice location

Address: 402 E Yakima Ave STE 447c, Yakima, WA 98901-5407
Phone: (262) 875-6593
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

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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: 1598407488
Entity type: Organization
NPI issued: 11 Apr 2022
Record last updated: 11 Apr 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.