NEUROTECH, LLC; NPI #1356776322

Contact Information

NEUROTECH, LLC

6627 S 191ST PL STE F110
KENT, WA 98032-2118

Phone: 866-374-7648
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
EEG	246ZE0500X
Physiological Laboratory, (Independent Physiological Lab)	293D00000X	47	Independent Diagnostic Testing Facility (IDTF)
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 # 1356776322

LBN Legal business name NEUROTECH, LLC

Authorized official CHRISTOPHER BLANK - (CONTRACTING & CREDENTIALING MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/10/2013

Last updated 03/12/2025 - More than a year ago

Identifiers

Medicaid

1356776322

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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