NEUROTECH, LLC (NPI# 1679064638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679064638 |
| Entity Type | Organization |
| Organization Name | NEUROTECH, LLC |
| Practice Address |
4609 Mill Branch Ln Knoxville TN 37938-3260 |
| Mailing Address |
626 W Moreland Blvd Waukesha WI 53188-2433 |
| Practice Telephone | 8658518354 |
| Practice Fax Number | 2627540897 |
| Mailing Telephone | 2627540898 |
| Mailing Fax Number | 2627540897 |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2019-03-09 |
| Authorized Official Name | KRISTINE LISA WILDNER (DIRECTOR OF CONTRACTING AND RESEARC) |
| Authorized Official Telephone | 2628756572 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities | ||
| N | 2472E0500X |
Technician, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| 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 |
4609 MILL BRANCH LN |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37938-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698170 | Kaitlin Blankenship | Specialist/Technologist | 6800 Highbank Ln, Knoxville, TN 37938 | 2017-06-07 |
| 1336454529 | Wal-mart Stores East Lp | Technician/Technologist | 7550 Norris Freeway, Knoxville, TN 37938 | 2010-08-11 |
| 1093908733 | Steven M Burns | Physical Medicine & Rehabilitation | 970 E. Emory Rd, Knoxville, TN 37938 | 2007-08-27 |
| 1629131040 | Murray Mckinnon | Chiropractor | 4605 Mill Branch Lane, Knoxville, TN 37938 | 2006-12-18 |
| 1811356744 | Tennessee Health and Care Professionals, LLC | Respite Care | 7110 Texas Valley Rd, Knoxville, TN 37938-1601 | 2016-02-20 |
| 1790109981 | Rachel E. Enigk | Physician Assistant | 5247 Salem Church Rd, Knoxville, TN 37938-2144 | 2014-02-10 |
| 1003325994 | Sabrina Ponder | Registered Nurse | 4614 Nathan Dr, Knoxville, TN 37938-2527 | 2017-09-24 |
| 1871618363 | Michael David Sulack | Chiropractor | 713 E Emory Road, Knoxville, TN 37938-2856 | 2007-03-21 |
| 1396219333 | Emily Sweet | Occupational Therapist | 4312 Rare Earth Dr, Knoxville, TN 37938-2983 | 2019-01-13 |
| 1477923340 | Mary Ann Montemayor Wong | Physical Therapist | 7865 Thomas Henry Way, Knoxville, TN 37938-3044 | 2015-10-04 |
| Find all providers in zip 37938 | ||||
| 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 |
|---|---|---|---|---|
| 1255950895 | Covenant Health Diagnostic Centers, LLC | Physiological Laboratory | 100 Fort Sanders West Blvd Ste 100, Knoxville, TN 37922-3353 | 2020-04-14 |
| 1689622003 | Diagnostic Health Centers of Tennessee, LLC | Physiological Laboratory | 601 Hall of Fame Dr, Knoxville, TN 37915-3666 | 2006-05-05 |
| 1700977915 | Smokey Mountain Diagnostics | Physiological Laboratory | 710 Mabry Hood Rd, Knoxville, TN 37932-2661 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841838174 | Tenn Ndx LLC | Physiological Laboratory | 1113 Murfreesboro Rd Ste 106-314, Franklin, TN 37064-1306 | 2019-12-17 |
| 1710472196 | Mobile Extremity Mri LLC | Physiological Laboratory | 237 W Northfield Blvd Ste 203, Murfreesboro, TN 37129-0531 | 2018-06-27 |
| 1417353970 | Scltdi Jv, LLC | Physiological Laboratory | 1431 Perrone Way, Franklin, TN 37069-4243 | 2014-11-11 |
| 1770638280 | Strategies Management Group | Physiological Laboratory | 1217 Hatcher Ln, Columbia, TN 38401 | 2007-01-24 |
| 1043371834 | Mobile Ultrasound Services Inc | Physiological Laboratory | 5130 Wheelis Dr, Suite 1, Memphis, TN 38117-4520 | 2006-12-13 |
| 1295745867 | Respiratory Care Consulting Services, Inc. | Physiological Laboratory | 604 Burton Dr, Franklin, TN 37067-5008 | 2006-08-08 |
| 1205840204 | Telerhythmics, LLC | Physiological Laboratory | 60 Market Center Dr, Suite 101, Collierville, TN 38017-6914 | 2006-07-28 |
| 1912936139 | Sleep Labs of The South LLC | Physiological Laboratory | 1600 Clingan Ridge Dr Nw, Cleveland, TN 37312-3652 | 2006-07-01 |
| 1114953700 | Nvms of Kentucky LLC | Physiological Laboratory | 100 Bluegrass Commons Blvd, Ste 150, Hendersonville, TN 37075-2737 | 2006-06-24 |
| 1881638906 | Kirk L. Pyle | Physiological Laboratory | 118 Public Square East, Waynesboro, TN 38485-1202 | 2006-06-16 |
| Find all providers with the same taxonomy | ||||
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| 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.