NPI 1942795190

Neurotech, LLC

Organisation Physiological Laboratory Green Bay, WI

Practice location

Address: 2830 Ramada Way STE 204, Green Bay, WI 54304-5700
Phone: (866) 374-7648
Mailing address: 626 W Moreland Blvd, Waukesha, WI 53188-2433

Authorised official

Name: Chris Blank
Title: Contracting & Credentialing Manager
Phone: (262) 875-6575

Registered specialties (4)

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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EEG Specialist/Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0500X

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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: 1942795190
Entity type: Organization
NPI issued: 28 Jun 2018
Record last updated: 3 Sep 2024

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.