National Provider Identifier Database

NEUROTECH LLC
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

NEUROTECH, LLC
1263 MAIN ST STE 120
GREEN BAY, WI54302-1341
Phone: 262-875-6612
Fax:
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X
EEG 2472E0500X
Portable Xray Supplier 335V00000X
Sleep Disorder Diagnostic 261QS1200X

* Indicates primary specialty

NPI Profile & details for NEUROTECH, LLC

NPI Number 1336780717
Legal business name
LBN
NEUROTECH, LLC
Authorized official KRISTINE WILDNER - (DIRECTOR OF CONTRACTING & RESEARCH)
Entity Organization
Organization subpart No
Enumeration date 10/07/2019
Last updated 11/12/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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