Organization
NEUROTECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE MORGAN (CHIEF OPERATING OFFICER)
(262) 754-0898
Entity
Organization
Contact information
Practice address
626 W MORELAND BLVD, WAUKESHA, WI 53188-2433
(262) 754-0897
Mailing address
3086 VOYAGER DR, SUITE 3, GREEN BAY, WI 54311-8343
(920) 489-2199
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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