Neurotech Northwest, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

NEUROTECH NORTHWEST, LLC

Practice address

1402 140TH PL NE Ste 105
Bellevue, WA 98007-3943

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

Lance Morgan

Title

Director of Operations

Phone

(262) 754-0898

Specialties & licenses 3

Addresses

Other names 1

• Neurotech Idaho Other name

Tax ID family

Neurotech Northwest LLC2 organizations share this tax ID, including this one

Part of

Neurotech Northwest LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Neurotech Northwest, LLC

  • Physiological Laboratory
  • Bellevue, WA
  • NPI 1811435886
  NPD tax ID

Locations

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831567775",
    "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": "1402 140TH PL NE STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073943",
            "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": "2022-07-21",
        "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"
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurotech Idaho",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Neuropsychology and Cognitive Health
• 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
• New Life Recovery Solutions
• New Life Reovery Solutions

• 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 Jul 21, 2022; 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.