Dermpath Diagnostics Of Wi
LBN: Dermatopathology Of Wisconsin Sc
Dermpath Diagnostics Of Wi is an health care organization with primary practice located at 12805 W Burleigh Rd Suite 200, Brookfield WI 53005-3111. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty.
Dermatopathology Of Wisconsin Sc can be contacted via phone (262) 797-6434, or through Dolan, Kristie M via phone (866) 697-8378.
Contact Information
Primary practice address
12805 W Burleigh Rd Suite 200
Brookfield WI 53005-3111
Phone: (262) 797-6434
Fax: (262) 797-6429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | 52D0661946 | Wisconsin |
Profile Details
| NPI number | 1164494142 |
|---|---|
| LBN Legal business name | Dermatopathology Of Wisconsin Sc |
| DBA Doing business as | Dermpath Diagnostics Of Wi |
| Authorized official | Dolan, Kristie M |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Apr 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164494142 | NPPES |
| Michigan | MEDICAID | 1164494142 | |
| Michigan | MEDICAID | 14900 | |
| Michigan | Other | 52D1105706 | |
| Michigan | MEDICAID | 5585170 | |
| Michigan | MEDICAID | 749475100 | |
| Michigan | MEDICAID | 0765271 | |
| Michigan | MEDICAID | 32911800 |
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