Provider Demographics
NPI:1245656040
Name:NEUROTECH DIAGNOSTICS LLC
Entity type:Organization
Organization Name:NEUROTECH DIAGNOSTICS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTERBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-770-3200
Mailing Address - Street 1:350 NURSERY RD STE 5103
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-4082
Mailing Address - Country:US
Mailing Address - Phone:832-770-3200
Mailing Address - Fax:832-616-3505
Practice Address - Street 1:350 NURSERY RD STE 5103
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-4082
Practice Address - Country:US
Practice Address - Phone:832-770-3200
Practice Address - Fax:832-616-3505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies