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Organization
NEUROTECH, LLC
Active
Organization
NEUROTECH, LLC
Active
Parent organization
NEUROTECH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEUROTECH, LLC
Authorized official
CHRISTOPHER BLANK (CONTRACTING & CREDENTIALING MANAGER)
(262) 875-6575
Entity
Organization
Contact information
Practice address
11210 STEEPLECREST DR STE 120C, HOUSTON, TX 77065-4939
(866) 374-7648
Mailing address
626 W MORELAND BLVD, WAUKESHA, WI 53188-2433
(866) 374-7648
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
293D00000X
Physiological Laboratory
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
03/15/2023
Last updated
02/03/2025
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