Neurotech Northwest, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

NEUROTECH NORTHWEST, LLC

Practice address

12715 Bel Red Rd
Bellevue, WA 98005-2627

Phone

(425) 455-0446

NPI assigned

Sep 9, 2015

Organization subpart

Yes

Parent organization

NEUROTECH NORTHWEST, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lance Morgan

Title

Director of Operations

Phone

(262) 754-0898

Specialties & licenses 3

Addresses

Other names 1

• Neurotech Montana Other name

Part of

Neurotech Northwest LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1386012227",
    "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": "262-754-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12715 BEL RED RD",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052627",
            "telephone_number": "425-455-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROTECH NORTHWEST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROTECH NORTHWEST, LLC",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "262-754-0898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurotech Montana",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Neurosurgical Consultants of Washington, Inc P S
• Neurotech Northwest, LLC
• Neurotech Northwest, LLC
• Neurotech Northwest, LLC
• Neurovascular Institute PLLC
• New Dawn Psychotherapy PLLC
• New Horizons Natural Health LLC

• Physiological Laboratory in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Physiological Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.