Organization
NEUROTECH, NA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS BURKE III (VP OF FINANCE)
(571) 762-1005
Entity
Organization
Contact information
Practice address
11220 ASSETT LOOP, SUITE 210, MANASSAS, VA 20109
(888) 980-1197
(888) 980-1195
Mailing address
11220 ASSETT LOOP, SUITE 210, MANASSAS, VA 20109
(571) 762-1005
(571) 762-1005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003185108A
—
GA
05
—
03325521
—
MS
05
—
1032476680001
—
PA
05
—
145146400
—
WY
05
—
1710324363
—
IA
05
—
1710324363
—
MN
05
—
1710324363
—
NV
05
—
1710324363
—
VA
05
—
200143800
—
MD
05
—
269428
—
AZ
05
—
300001916
—
IN
05
—
3003397
—
UT
05
—
3694762
—
TX
05
—
7100458560
—
KY
05
—
9000142686
—
CO
05
—
DM1578
—
SC
Enumeration date
05/22/2013
Last updated
09/09/2022
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