NEUROTECH, LLC (NPI# 1063890465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063890465 |
| Entity Type | Organization |
| Organization Name | NEUROTECH, LLC |
| Other Organization Name | NEUROTECH KENTUCKY |
| Practice Address |
4010 Dupont Cir Ste 230 Louisville KY 40207-4847 |
| Mailing Address |
626 W Moreland Blvd Waukesha WI 53188-2433 |
| Practice Telephone | 2628756635 |
| Mailing Telephone | 2627540898 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | KRISTINE LISA WILDNER (DIRECTOR OF CONTRACTING & RESEARCH) |
| Authorized Official Telephone | 2628756572 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEUROTECH, LLC |
| 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 | ||
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Neurotech Kentucky | Other Name - Individual/Organization |
| 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 |
4010 DUPONT CIR STE 230 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| 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 |
|---|---|---|---|---|
| 1770724692 | Home Oximetry & Sleep Testing, LLC | Physiological Laboratory | 5806 Cooper Chapel Rd, Louisville, KY 40229-1312 | 2009-03-24 |
| 1295827137 | Sleep Center of Kentuckiana, LLC | Physiological Laboratory | 7926 Preston Hwy Ste 200, Louisville, KY 40219-3848 | 2006-09-29 |
| 1093369381 | Koligo Therapeutics, Inc. | Physiological Laboratory | 2401 Terra Crossing Blvd, Louisville, KY 40245-5371 | 2019-07-25 |
| 1487013066 | Vision Ky Idtf, LLC | Physiological Laboratory | 7321 New La Grange Rd, Suite 112, Louisville, KY 40222-4800 | 2016-02-11 |
| 1619361326 | American Diagnostics Services LLC | Physiological Laboratory | 4113 Bardstown Rd, Ste. 103, Louisville, KY 40218-3293 | 2015-03-20 |
| 1811228935 | Mds Digital X-ray Inc | Physiological Laboratory | 1800 Envoy Cir, Ste 1801, Louisville, KY 40299-1854 | 2010-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518266048 | Rmddxusa Corp | Physiological Laboratory | 105 Dry Hill Road, Wirelessdx Cardiac Monitoring Service Center, Hyden, KY 41749-8929 | 2011-03-23 |
| 1316263098 | Rtcs, LLC | Physiological Laboratory | 7295 Us Highway 60 E, Morehead, KY 40351-8628 | 2010-04-20 |
| 1538196480 | Diagnostic Health Center of Lexington, LLC | Physiological Laboratory | 230 S Martin Luther King Blvd, Lexington, KY 40508-2603 | 2006-06-27 |
| 1639121080 | Home Medical Visits, Inc | Physiological Laboratory | 1030 Burlington Ln Ste 4b, Frankfort, KY 40601-8444 | 2006-05-16 |
| 1902895527 | Peripheral Vascular Labs of Ky, Inc | Physiological Laboratory | 609 Main St, Hazard, KY 41701-1381 | 2005-10-17 |
| 1316494081 | Oliver Winston Lab LLC | Physiological Laboratory | 1600 Harrodsburg Rd, Lexington, KY 40504-3706 | 2016-09-09 |
| 1235585126 | Pioneer Health Group LLC | Physiological Laboratory | 125 S Main Cross St, Louisa, KY 41230-1065 | 2016-05-10 |
| 1912316936 | Arterial Health of Ky, LLC | Physiological Laboratory | 2333 Alexandria Dr, Lexington, KY 40504-3215 | 2014-08-04 |
| 1194071308 | Mr. Sandman Home Sleep Testing, LLC | Physiological Laboratory | 388 Vanover Rd W, London, KY 40744-8978 | 2012-07-25 |
| 1922097229 | Kentucky Ultrasound Associates, Inc | Physiological Laboratory | 609 Main St, Hazard, KY 41701-1381 | 2005-10-19 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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.