# NEUROTECH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEUROTECH, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356042444
- **Legal business name:** NEUROTECH, LLC
- **Authorized official:** CHRISTOPHER BLANK (CONTRACTING & CREDENTIALING MANAGER)
- **Authorized official phone:** (262) 875-6575

## Contact information

- **Practice address:** 11210 STEEPLECREST DR STE 120C, HOUSTON, TX 77065-4939
- **Practice address phone:** (866) 374-7648
- **Mailing address:** 626 W MORELAND BLVD, WAUKESHA, WI 53188-2433
- **Mailing address phone:** (866) 374-7648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2472E0500X | EEG Technician | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |
| 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