NEUROTECH, LLC (NPI# 1225056252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225056252 |
| Entity Type | Organization |
| Organization Name | NEUROTECH, LLC |
| Practice Address |
626 W Moreland Blvd Waukesha WI 53188-2433 |
| Practice Telephone | 2627540898 |
| Practice Fax Number | 2627540897 |
| Mailing Telephone | 2627540898 |
| Mailing Fax Number | 2627540897 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | MR. LANCE MORGAN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2627540898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
WI | Ambulatory Health Care Facilities | |
| N | 2472E0500X |
Technician, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21311100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912560772 | Neurotech, LLC | Specialist/Technologist, Other | 117 Ne Trilein Dr Ste 202, Ankeny, IA 50021-2082 | 2019-04-17 |
| 1245793447 | Neurotech, LLC | Specialist/Technologist, Other | 90 Court St Ste 211b, Middletown, CT 06457-3334 | 2019-04-13 |
| 1194283341 | Neurotech, LLC | Technician, Other | 1440 Rockside Rd Ste 315, Parma, OH 44134-2749 | 2019-03-06 |
| 1194289603 | Neurotech, LLC | Technician, Other | 2120 44th St Se Ste 202, Kentwood, MI 49508-5321 | 2019-01-29 |
| 1811451925 | Neurotech, LLC | Technician, Other | 520 Grand Central Ave Unit 204-b, Vienna, WV 26105-2187 | 2019-01-23 |
| 1891259065 | Neurotech, LLC | Specialist/Technologist, Other | 1691 Town Center St, Aurora, IL 60504-4590 | 2019-01-22 |
| 1265903710 | Neurotech, LLC | Technician, Other | 2255 W Laskey Rd Ste A-2, Toledo, OH 43613-3573 | 2018-12-10 |
| 1447735451 | Neurotech, LLC | Specialist/Technologist, Other | 1820 Ridge Rd Ste 303a, Homewood, IL 60430-1759 | 2018-09-26 |
| 1942795190 | Neurotech, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1263 Main St Ste 213, Green Bay, WI 54302-1341 | 2018-06-28 |
| 1649763756 | Neurotech, LLC | Specialist/Technologist, Other | 1691 Town Center St Ste 105, Aurora, IL 60504-4589 | 2018-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Neurotech, LLC | 626 W. Moreland Blvd, Waukesha, WI 53188 |
| System for Award Management (SAM) Entities | NEUROTECH, LLC | 626 W Moreland Blvd, Waukesha, WI 53188-2433 |
| Washington State Corporations | NEUROTECH, LLC | 2510 N Pines Rd, Suite 5, Spokane Vly, WA 99206-7636 |
| Street Address |
626 W MORELAND BLVD |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770027070 | Neurotech, LLC | Technician, Other | 626 W Moreland Blvd, Waukesha, WI 53188-2433 | 2016-12-06 |
| 1043754427 | Neurotech, LLC | Specialist/Technologist, Other | 626 W Moreland Blvd, Waukesha, WI 53188-2433 | 2016-12-05 |
| 1295151736 | Keith Morgan | Specialist/Technologist, Other | 626 W Moreland Blvd, Suite 2, Waukesha, WI 53188-2433 | 2014-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | 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 laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255798815 | Braincare, LLC | Physiological Laboratory | S75w17311 Janesville Rd, Muskego, WI 53150-9376 | 2016-01-26 |
| 1982945010 | Heart To Sole Diagnostics | Physiological Laboratory | 7635 West Bluemound Road, Suite 1c, Milwaukee, WI 53213-3500 | 2013-03-14 |
| 1629269899 | T.d.c. | Physiological Laboratory | 3000 Emery Dr, Wausau, WI 54401-9710 | 2007-08-05 |
| 1902041502 | Mds Digital Portable X-ray Inc | Physiological Laboratory | 10300 W Lincoln Ave, Suite. Ll, West Allis, WI 53227-2100 | 2008-12-10 |
| 1407868334 | Fox Valley Hematology & Oncology, S.c. | Physiological Laboratory | 3925 N Gateway Dr, Appleton, WI 54913-7863 | 2006-08-12 |
Please comment or provide details below to improve the information on NEUROTECH, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.