Neurotech, LLC
NPI 1093203770ActiveOrganization· Physiological Laboratory· Valparaiso, IN
Physiological Laboratory in Valparaiso, Indiana, registered in NPPES in April 2018, part of Neurotech, LLC. The authorized official on file is Kristine Lisa Wildner, Director Of Contracting & Research. Enrolled in Medicare as part b supplier - independent diagnostic testing facility (idtf).
Overview
| NPI | 1093203770 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Neurotech, LLC |
| NPI issued | Apr 27, 2018 |
| Last updated in NPPES | Feb 17, 2022 |
| Certified by provider | Feb 17, 2022 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (IN) |
|---|