Whalio Doctors

NPI 1679064638

Neurotech, LLC

Organisation Physiological Laboratory Knoxville, TN

Practice location

Address
4609 Mill Branch Ln, Knoxville, TN 37938-3260
Phone
(865) 851-8354
Fax
(262) 754-0897
Mailing address
626 W Moreland Blvd, Waukesha, WI 53188-2433

Authorised official

Name
Kristine Lisa Wildner
Title
Director of Contracting and Researc
Phone
(262) 875-6572

Registered specialties (4)

Physiological Laboratory Primary
Laboratories Taxonomy 293D00000X
EEG Technician
Technologists, Technicians & Other Technical Service Providers Taxonomy 2472E0500X
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
1679064638
Entity type
Organization
NPI issued
25 May 2018
Record last updated
9 Mar 2019

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.