NEUROTECH NORTHWEST LLC (NPI# 1356776322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356776322 |
| Entity Type | Organization |
| Organization Name | NEUROTECH NORTHWEST LLC |
| Practice Address |
1402 140th Pl Ne Ste 105 Bellevue WA 98007-3943 |
| Mailing Address |
626 W Moreland Blvd Waukesha WI 53188-2433 |
| Practice Telephone | 4254550446 |
| Mailing Telephone | 2627540898 |
| Mailing Fax Number | 2627540897 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2019-03-09 |
| Authorized Official Name | KRISTINE LISA WILDNER (DIRECTOR OF CONTRACTING & RESEARCH) |
| Authorized Official Telephone | 2628756572 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers | ||
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities | ||
| N | 293D00000X | Physiological Laboratory | Laboratories | ||
| Y | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1356776322 | 05 |
| Street Address |
1402 140TH PL NE STE 105 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-3943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811435886 | Neurotech Northwest, LLC | Specialist/Technologist, Other | 1402 140th Pl Ne Ste 105, Bellevue, WA 98007-3943 | 2017-02-09 |
| 1831567775 | Neurotech Northwest, LLC | Technician, Other | 1402 140th Pl Ne Ste 105, Bellevue, WA 98007-3943 | 2015-09-09 |
| 1194193037 | Neurotech Northwest, LLC | Specialist/Technologist, Other | 1402 140th Pl Ne Ste 105, Bellevue, WA 98007-3943 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
| Find all providers in zip 98007 | ||||
| Taxonomy Code | 246ZE0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811435886 | Neurotech Northwest, LLC | Specialist/Technologist, Other | 1402 140th Pl Ne Ste 105, Bellevue, WA 98007-3943 | 2017-02-09 |
| 1194193037 | Neurotech Northwest, LLC | Specialist/Technologist, Other | 1402 140th Pl Ne Ste 105, Bellevue, WA 98007-3943 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000463 | Paul Lobaugh | Specialist/Technologist, Other | Astia Sunnyside Hospital, 1016 Tacoma Avenue, Sunnyside, WA 98944 | 2019-02-25 |
Please comment or provide details below to improve the information on NEUROTECH NORTHWEST 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.