NEUROTECH NORTHWEST, LLC (NPI# 1811435886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811435886 |
| 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 | 2062990375 |
| Mailing Telephone | (262) 754-0898 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-08-10 |
| 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 | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386012227 | Neurotech Northwest, LLC | Specialist/Technologist, Other | 12715 Bel Red Rd, Bellevue, WA 98005-2627 | 2015-09-09 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NEUROTECH NORTHWEST, LLC | 15285 Watertown Plank Rd Ste 2, Elm Grove, WI 53122 |
| Washington State Corporations | NEUROTECH NORTHWEST, LLC | 1402 140th Pl Ne, Suite 105, Bellevue, WA 98007-3943 |
| Street Address |
1402 140TH PL NE STE 105 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-3943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356776322 | Neurotech Northwest LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1402 140th Pl Ne Ste 105, Bellevue, WA 98007-3943 | 2013-09-10 |
| 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 | 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 |
|---|---|---|---|---|
| 1639776842 | Pacific Vascular Incorporated | Physiological Laboratory | 315 E 8th St Lowr Level, Port Angeles, WA 98362-6217 | 2020-10-01 |
| 1700329828 | Braincare, LLC | Physiological Laboratory | 19909 120th Ave Ne Ste 203, Bothell, WA 98011-8242 | 2016-11-21 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1851715130 | Greater Sleep Solutions | Physiological Laboratory | 18801 Veterans Memorial Dr E Ste 1, Bonney Lake, WA 98391-5204 | 2014-02-07 |
| 1235432741 | Med-men LLC | Physiological Laboratory | 2522 N Proctor St, 468, Tacoma, WA 98406-5338 | 2010-12-06 |
| 1891017992 | Pacific Vascular Incorporated | Physiological Laboratory | 536 N 5th Ave, Suite B, Sequim, WA 98382-3079 | 2010-02-17 |
| 1780910091 | Agile Dx | Physiological Laboratory | 3413 56th St Nw, Suite C, Gig Harbor, WA 98335-8341 | 2009-10-21 |
| 1942441571 | Daniel Anyimah | Physiological Laboratory | 19604 Bing Road, Lynnwood, WA 98036 | 2009-03-11 |
| 1588600571 | Alpha Omega Sonography LLC | Physiological Laboratory | 12402 N Division St, Suite 205, Spokane, WA 99218-1930 | 2006-06-20 |
| 1053865220 | Pacific Vascular, Inc | Physiological Laboratory | 11714 N Creek Pkwy N, Suite 100, Bothell, WA 98011-8250 | 2016-08-05 |
| 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.