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NEUROTECH LLC NPI 1790199859


NPI Information

NPI: 1790199859
Provider Name: NEUROTECH, LLC

Doing Business As: NEUROTECH INDIANA

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
941 E 86TH ST STE 107
INDIANAPOLIS, IN
ZIP 46240
Phone: (262) 875-6611
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NEUROTECH, LLC is a physiological laboratory in Indianapolis, IN. The provider is 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. NEUROTECH, LLC NPI is 1790199859. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Neurotech Indiana.

The provider's business location address is:

941 E 86TH ST STE 107
INDIANAPOLIS, IN
ZIP 46240-842
Phone: (262) 875-6611

The provider's authorized official is Kristine Lisa Wildner .
The authorized official title is Director Of Contracting & Research and has the following contact phone number (262) 875-6572.

The enumeration date for this NPI number is 6/17/2014 and was last updated on 4/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12472E0500XTechnician, OtherEEGNo
2261QS1200XClinic/CenterSleep Disorder DiagnosticNo
3293D00000XPhysiological LaboratoryYes
4335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201132380AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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