Consultants Laboratory Of Wisconsin, Llc

LBN: Consultants Laboratory Of Wisconsin, Llc
Consultants Laboratory Of Wisconsin, Llc is an health care organization with primary practice located at 703 W State St , Fox Lake WI 53933-9550. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Consultants Laboratory Of Wisconsin, Llc can be contacted via phone (920) 926-5840, or through Christian, Deborah via phone (920) 926-5840.

Contact Information

Primary practice address
703 W State St Fox Lake WI 53933-9550
Phone: (920) 926-5840
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Christian, Deborah
Phone: (920) 926-5840

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1497897565
LBN Legal business name Consultants Laboratory Of Wisconsin, Llc
DBA Doing business as
Authorized official Christian, Deborah
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 13th, 2007
Last updated Dec 16th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497897565 NPPES
Wisconsin Other 52D0990643 CLIA
Wisconsin MEDICAID 32928500 CLIA

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