NPI 1811451925

Neurotech, LLC

Organisation Physiological Laboratory Vienna, WV

Practice location

Address: 520 Grand Central Ave Unit 204-B, Vienna, WV 26105-2187
Phone: (262) 875-6636
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

Other Physiological Laboratory providers in West Virginia →

EEG Technician

Technologists, Technicians & Other Technical Service Providers Taxonomy 2472E0500X

Other Technician, Other providers in West Virginia →

Sleep Disorder Diagnostic Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QS1200X

Other Clinic/Center providers in West Virginia →

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

Suppliers Taxonomy 335V00000X

Other Portable X-ray and/or Other Portable Diagnostic Imaging Supplier providers in West Virginia →

Registry record

NPI: 1811451925
Entity type: Organization
NPI issued: 23 Jan 2019
Record last updated: 23 May 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.