Neurotech, LLC

Organization Active NPI Physiological Laboratory · Rapid City, SD

NPI 1366024929 · NPPES record last updated Apr 23, 2021

Key facts

NPI
1366024929
Entity type
Organization (NPI type 2)
Primary specialty
Physiological Laboratory 293D00000X
Legal business name
NEUROTECH, LLC
Practice address
1010 9TH St Ste 11
Rapid City, SD 57701-3782
Phone
(262) 875-6641
NPI assigned
Apr 23, 2021
Organization subpart
No

Authorized official

Name
Kristine Lisa Wildner
Title
Director of Contracting and Researc
Phone
(262) 875-6572

National Provider Directory

Locations

1010 9th St
Ste 11
Rapid City, SD 57701
Phone (262) 875-6641

626 W Moreland Blvd
Waukesha, WI 53188
Phone (262) 754-0898

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Technician
Group: 193400000X SINGLE SPECIALTY GROUP
2472E0500X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Physiological Laboratory 293D00000X Yes
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Addresses

Primary practice location

1010 9TH St Ste 11
Rapid City, SD 57701-3782

Mailing address

626 W Moreland Blvd
Waukesha, WI 53188-2433

Other providers in Rapid City, SD

All providers in Rapid City, SD · Physiological Laboratory in South Dakota

Sources for this page

Verify at the official NPI Registry.