Active NPI
Neurotech, LLC
- Physiological Laboratory
- Toledo, OH
National Provider Identifier
1265903710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- NEUROTECH, LLC
- Practice address
- 2255 W Laskey Rd Ste a-2
Toledo, OH 43613-3573 - Phone
- (262) 875-6620
- Fax
- (262) 754-0897
- NPI assigned
- Dec 10, 2018
- Last updated
- Mar 9, 2019
- Organization subpart
- Yes
- Parent organization
- NEUROTECH, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristine Lisa Wildner
- Title
- Director of Contracting and Researc
- Phone
- (262) 875-6572
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| EEG Technician | 2472E0500X | |||
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | |||
| Physiological Laboratory | 293D00000X | Primary | ||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X |
Addresses
Primary practice location
2255 W Laskey Rd Ste a-2
Toledo, OH 43613-3573
Mailing address
626 W Moreland Blvd
Waukesha, WI 53188-2433
Phone (262) 875-6572
Other names 1
- Neurotech Toledo
National Provider Directory
National Provider Directory- Part of
- Neurotech LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Physiological Laboratory
- North Royalton, OH
- NPI 1194283341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552089600000",
"number": "1265903710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 W MORELAND BLVD",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531882433",
"telephone_number": "262-875-6572",
"fax_number": "262-754-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 W LASKEY RD STE A-2",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436133573",
"telephone_number": "262-875-6620",
"fax_number": "262-754-0897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROTECH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEUROTECH, LLC",
"enumeration_date": "2018-12-10",
"last_updated": "2019-03-09",
"status": "A",
"authorized_official_last_name": "WILDNER",
"authorized_official_first_name": "KRISTINE",
"authorized_official_middle_name": "LISA",
"authorized_official_title_or_position": "DIRECTOR OF CONTRACTING AND RESEARC",
"authorized_official_telephone_number": "262-875-6572"
},
"taxonomies": [
{
"code": "2472E0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Other, EEG",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
},
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Neurotech Toledo",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Neurotech Toledo",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Toledo, OH
- Daniel E Neumeyer, DO
- Melanie Neuner, FNP-C
- Neurology and Headache Clinics of NW Ohio
- Neurosleep, Inc
- Neurosurgical Network, Inc.
- Michael P Neverauskas, DO
- David Neville, AU. D.
- Robert Glen Neville, M.D.
- New Beginnings Residential LLC
- New Century Medical Observation Services of Lucas County, Inc (New Century Med Obs Srvc Lucas Cnty, Inc./St Vincent Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.