OrganizationActive
Neurotech, LLC
NPI 1336780717 · Physiological Laboratory · Green Bay, WI
Provider details
- NPI number
- 1336780717
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Kristine Wildner, Director of Contracting & Research(262) 875-6572
Specialties & taxonomies
Laboratories
- EEG Technician2472E0500X
Technologists, Technicians & Other Technical Service Providers
- Sleep Disorder Diagnostic Clinic/Center261QS1200X
Ambulatory Health Care Facilities
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1263 Main St Ste 120
Green Bay, WI 54302-1341
Phone: (262) 875-6612
Street-level locationGet directions
Mailing address
3232 Ridge Rd
Lansing, IL 60438-3127
Other names (DBA / former)
- Other name
- Neurotech, LLC Fixed Idtf
- Other name
- Neurotech, LLC Fixed Idtf
Registry dates
- Enumerated
- 2019-10-07
- Last updated
- 2021-11-12
- Certified
- 2021-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.