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NEUROTECH, LLC
NPI 1053072819
Physiological Laboratory in Warren, MI

Active since January 04, 2022
31201 CHICAGO RD S STE B301, WARREN, MI 48093(262) 875-6597(262) 754-0897 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Neurotech, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEUROTECH, LLC (NPI 1053072819) is a healthcare organization registered as a physiological laboratory in Warren, Michigan and active in the NPI registry since January 2022. The organization lists Kristine Lisa Wildner, Director Of Contracting & Research, as its authorized official.

NPPES Registry Identity

NPI1053072819
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameNEUROTECH, LLC
Location Address31201 CHICAGO RD S STE B301Warren, MI 48093-5570
Mailing Address626 W Moreland BlvdWaukesha, WI 53188-2433 · (262) 754-0898 · Fax (262) 754-0897
Phone(262) 875-6597
Fax(262) 754-0897
Organization SubpartNo
Authorized OfficialKristine Lisa WildnerDirector Of Contracting & Research · (262) 875-6572
Enumeration DateJanuary 4, 2022
NPPES CertifiedJanuary 4, 2022
✔ NPI 1053072819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
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.
Also ListedSpecialist/Technologist, Other · EEGTaxonomy 246ZE0500X
Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X
Also ListedPortable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy 335V00000X
31201 CHICAGO RD S STE B301, Warren, MI 48093
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neurotech, LLC's NPI number?

The NPI number for Neurotech, LLC is 1053072819. It was assigned to this organization in the NPPES registry on January 4, 2022.

Where is Neurotech, LLC located?

Neurotech, LLC is located at 31201 Chicago Rd S Ste B301, Warren, MI 48093. The listed phone number is (262) 875-6597.

What is Neurotech, LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Neurotech, LLC was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.