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.

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Contact Information

NEUROTECH, LLC

1263 MAIN ST STE 120
GREEN BAY, WI 54302-1341

Phone: 262-875-6612
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Physiological Laboratory, (Independent Physiological Lab)	293D00000X	47	Independent Diagnostic Testing Facility (IDTF)
EEG	2472E0500X	75	Slide Preparation Facility
Portable Xray Supplier	335V00000X	63	Portable X-Ray Supplier
Sleep Disorder Diagnostic	261QS1200X

Indicates primary specialty

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NPI Profile & details for NEUROTECH, LLC

NPI #	`1336780717`
LBN Legal business name	NEUROTECH, LLC
Authorized official	KRISTINE WILDNER - (DIRECTOR OF CONTRACTING & RESEARCH)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/07/2019
Last updated	11/12/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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