Organization
NEUROTECH, LLC
Active
Parent organization
NEUROTECH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEUROTECH, LLC
Authorized official
KRISTINE LISA WILDNER (DIRECTOR OF CONTRACTING & RESEARCH)
(262) 875-6572
Entity
Organization
Contact information
Practice address
5750 RUFE SNOW DR STE 124, NORTH RICHLAND HILLS, TX 76180-6156
(866) 374-7648
(262) 754-0897
Mailing address
626 W MORELAND BLVD, WAUKESHA, WI 53188-2433
(262) 754-0898
(262) 754-0897
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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