Pathway Clinic, Sc
LBN: The Redi Clinic Of Wauwatosa, Sc
Pathway Clinic, Sc is an health care organization with primary practice located at 2500 N. Mayfair Rd, Ste 600 , Wauwatosa WI 53226. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
The Redi Clinic Of Wauwatosa, Sc can be contacted via phone (414) 727-4455, or through Weltzin, Theodore via phone (414) 727-4455.
Contact Information
Primary practice address
2500 N. Mayfair Rd, Ste 600
Wauwatosa WI 53226
Phone: (414) 727-4455
Fax: (414) 727-4690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1729 | Wisconsin |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1729 | Wisconsin |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1043228505 |
|---|---|
| LBN Legal business name | The Redi Clinic Of Wauwatosa, Sc |
| DBA Doing business as | Pathway Clinic, Sc |
| Authorized official | Weltzin, Theodore Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Apr 18th, 2017 - about 7 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 | 1043228505 | NPPES |
| Wisconsin | MEDICAID | 1043228505 | |
| Wisconsin | MEDICAID | 42127100 | |
| Wisconsin | Other | 84793 |
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