# NEUROTECH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEUROTECH, LLC
- **Other names:** Neurotech Ohio
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760860167
- **Legal business name:** NEUROTECH, LLC
- **Authorized official:** KRISTINE LISA WILDNER (DIRECTOR OF CONTRACTING & RESEARCH)
- **Authorized official phone:** (262) 875-6572

## Contact information

- **Practice address:** 8080 BECKETT CENTER DR STE 325/327, WEST CHESTER, OH 45069-5026
- **Practice address phone:** (513) 860-5800
- **Mailing address:** 626 W MORELAND BLVD, WAUKESHA, WI 53188-2433
- **Mailing address phone:** (262) 754-0898
- **Mailing address fax:** (262) 754-0897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZE0500X | EEG Specialist/Technologist | — | NULL | — |
| 246ZE0500X | EEG Specialist/Technologist | — | — | — |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | — |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | — |

## Other

- **Enumeration date:** 05/18/2015
- **Last updated:** 04/15/2021