National Provider Identifier Database

NEUROTECH LLC
EEG


Contact Information

NEUROTECH, LLC
6627 S 191ST PL STE F110
KENT, WA98032-2118
Phone: 866-374-7648
Fax:
Website:
Specialty Taxonomy Code
* EEG 246ZE0500X
Physiological Laboratory, (Independent Physiological Lab) 293D00000X
Portable Xray Supplier 335V00000X
Sleep Disorder Diagnostic 261QS1200X

* Indicates primary specialty

NPI Profile & details for NEUROTECH, LLC

NPI Number 1356776322
Legal business name
LBN
NEUROTECH, LLC
Authorized official CHRISTOPHER BLANK - (CONTRACTING & CREDENTIALING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/10/2013
Last updated 03/12/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • WA Medicaid: 1356776322

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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