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Organization
NEUROTECH, LLC
Active
Organization
NEUROTECH, LLC
Active
Parent organization
NEUROTECH, LLC
Other names
Neurotech Toledo
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEUROTECH, LLC
Authorized official
KRISTINE LISA WILDNER (DIRECTOR OF CONTRACTING AND RESEARC)
(262) 875-6572
Entity
Organization
Contact information
Practice address
2255 W LASKEY RD STE A-2, TOLEDO, OH 43613-3573
(262) 875-6620
(262) 754-0897
Mailing address
626 W MORELAND BLVD, WAUKESHA, WI 53188-2433
(262) 875-6572
(262) 754-0897
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
—
NULL
2472E0500X
EEG Technician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
NULL
293D00000X
Physiological Laboratory
Primary
—
NULL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
NULL
Other
Enumeration date
12/10/2018
Last updated
03/09/2019
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