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Contact Information

NEUROTECH NORTHWEST, LLC
402 E YAKIMA AVE STE 447C
YAKIMA, WA98901-5407
 Phone: 262-875-6593
 Fax: 262-754-0897
 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

NPI Profile & details for NEUROTECH NORTHWEST, LLC

NPI # 1598407488
LBN Legal business name NEUROTECH NORTHWEST, LLC
Authorized official KRISTINE WILDNER - (DIRECTOR OF CONTRACTING & RESEARCH)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2022
Last updated 04/11/2022 - About 4 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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