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NEUROTECH NORTHWEST, LLC

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Company Details

Legal Name: NEUROTECH NORTHWEST, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: June 22nd 2012
Date of Dissolution: December 27th 2024
Expiration date: 30 Jun 2025
UBI Number: 603 217 654
ZIP code: 98007
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1402 140TH PLACE NE, SUITE 105, BELLEVUE, WA, 98007, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 626 W MORELAND BLVD, NONE, WAUKESHA, WI, 53188-2433, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $14,103

Contact Details

E-Mail: LMORGAN@NEUROTECHEEG.COM
Phone Number: +1 262-875-6573

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CONRAD NIEVERA Registered Agent 1402 140TH PL NE STE 105, BELLEVUE, WA, 98007-3943, UNITED STATES

Key Officers & Management

Name Role Address
LANCE MORGAN Governing Person 1402 140TH PL NE, SUITE 105, BELLEVUE, WA, 98007-3943, UNITED STATES

National Provider Identifier

NPI Number:
1598407488
Certification Date:
2022-04-11

Authorized Person:

Name:
KRISTINE LISA WILDNER
Role:
DIRECTOR OF CONTRACTING & RESEARCH
Phone:

Taxonomy:

Selected Taxonomy:
2472E0500X - EEG Technician
Is Primary:
No
Selected Taxonomy:
261QS1200X - Sleep Disorder Diagnostic Clinic/Center
Is Primary:
No
Selected Taxonomy:
335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Is Primary:
No
Selected Taxonomy:
293D00000X - Physiological Laboratory
Is Primary:
Yes

Contacts:

Fax:
2627540897
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