Organization · Type 2 NPI

Neurotech, LLC

Physiological Laboratory · Louisville, KY

NPI number 1063890465 Active

Practice location

4010 Dupont Cir Ste 230
Louisville, KY 40207-4847

Call (262) 875-6635 Map

Mailing address

626 W Moreland Blvd
Waukesha, WI 53188-2433

Specialties and licenses

Taxonomy	Code	License
EEG Specialist/Technologist	246ZE0500X	None listed
Sleep Disorder Diagnostic Clinic/Center	261QS1200X	None listed
Physiological Laboratory Primary	293D00000X	None listed
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	None listed

Physiological Laboratory: 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 labora…

Other physiological laboratory providers in Louisville

See all in Louisville →

NPI record

NPI: 1063890465
Entity type: Organization (Type 2)
Issued: May 18, 2015
Last updated: Jun 10, 2020
Status: Active
Subpart: Yes of Neurotech, LLC

Other names

<unavail>
Neurotech Kentucky · other name
Neurotech Kentucky · other name

Authorized official

Kristine Lisa Wildner
Director of Contracting & Research
(262) 875-6572

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1063890465

Neurotech, LLC's National Provider Identifier is 1063890465, issued on May 18, 2015. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Louisville, KY. The record was last updated on Jun 10, 2020.