<Unavail>

LBN: Neurotech, Llc
<Unavail> is an health care organization with primary practice located at 941 E 86Th St Ste 107 , Indianapolis IN 46240-1842. The organization recently has 4 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / EEG, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic, Laboratories / Physiological Laboratory, Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier. Laboratories / Physiological Laboratory is the primary health care specialty. Neurotech, Llc can be contacted via phone (262) 875-6611, or through Wildner, Kristine Lisa via phone (262) 875-6572.

Contact Information

Primary practice address
941 E 86Th St Ste 107 Indianapolis IN 46240-1842
Phone: (262) 875-6611
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wildner, Kristine Lisa
Phone: (262) 875-6572

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / EEG 2472E0500X
Ambulatory Health Care Facilities / Sleep Disorder Diagnostic 261QS1200X
Laboratories / Physiological Laboratory 293D00000X
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Profile Details

NPI number 1790199859
LBN Legal business name Neurotech, Llc
DBA Doing business as <Unavail>
Authorized official Wildner, Kristine Lisa
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 17th, 2014
Last updated Apr 23rd, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790199859 NPPES
Indiana MEDICAID 201132380A

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