Active NPI
Neurotech Ceeg Partners, LLC
- EEG Specialist/Technologist
- Waukesha, WI
National Provider Identifier
1316542079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- EEG Specialist/Technologist
- Legal business name
- NEUROTECH CEEG PARTNERS, LLC
- Practice address
- 626 W Moreland Blvd
Waukesha, WI 53188-2433 - Phone
- (262) 875-6573
- Fax
- (262) 754-0897
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lance Morgan
- Title
- Cfo
- Phone
- (262) 875-6573
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| EEG Specialist/Technologist | 246ZE0500X | Primary | ||
| Physiological Laboratory | 293D00000X |
Addresses
Primary practice location
626 W Moreland Blvd
Waukesha, WI 53188-2433
Mailing address
626 W Moreland Blvd
Waukesha, WI 53188-2433
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606780800000",
"number": "1316542079",
"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",
"fax_number": "262-754-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 W MORELAND BLVD",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531882433",
"telephone_number": "262-875-6573",
"fax_number": "262-754-0897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROTECH CEEG PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "LANCE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "262-875-6573"
},
"taxonomies": [
{
"code": "246ZE0500X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, EEG",
"state": null,
"license": null,
"primary": true
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.