Dermatopathology Of Wisconsin Sc, NPI 1164494142
Clinical Medical Laboratory in Brookfield, WI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1164494142
NPI Entity Type Organization
Provider Name Dermatopathology Of Wisconsin Sc
Other Name
Subpart of Organization Ameripath Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 12805 W Burleigh Rd, Suite 200, Brookfield, WI, US
Provider Mailing Address 7111 Fairway Drive, Suite 400, Palm Beach Gardens, FL, US, 334184207
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Kristie M Dolan
Official Position VICE PRESIDENT
Phone 866-697-8378

Primary Taxonomy

Taxonomy Code

291U00000X

Taxonomy Name Clinical Medical Laboratory
Classification

Clinical Medical Laboratory

Group

Laboratories

License No. 52D0661946
License State WI
Description (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Other Organization Name

Dermpath Diagnostics of WI
Other Name

Business Address

Dermatopathology Of Wisconsin Sc
12805 W Burleigh Rd
Suite 200

Brookfield, WI, US

Phone: 262-797-6434
Fax: 262-797-6429

Mailing Address

Dermatopathology Of Wisconsin Sc
7111 Fairway Drive
Suite 400
Palm Beach Gardens, FL, US
ZIP 334184207
Phone: 561-712-6200
Fax: 561-712-7349

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1164494142 MI MEDICAID 05
14900 ND MEDICAID 05
52D1105706 WI CLIA 01
5585170 SD MEDICAID 05
749475100 MN MEDICAID 05
0765271 IA MEDICAID 05
32911800 WI MEDICAID 05

Other Providers in WI, US

NPI Name Taxonomy Address

1205582921

Timothy H Mcdonough

Individual

Medical Physician Assistant

600 Highland Ave

Madison, WI

1265832497

PA-C Jennifer Parnell

Individual

Physician Assistant

1300 South Drive

Oshkosh, WI

1578570974

Dean Health Systems, Inc

Organization

Comprehensive Outpatient Rehabilitation Facility (CORF)

1821 S Stoughton Rd

Madison, WI

1306426044

DDS Katherine Anne Knabe

Individual

General Practice Dentistry

5337 W Grande Market Dr

Appleton, WI

1811612187

PA(ASCP) Amanda Katsma

Individual

Pathology Technician

5000 W National Ave

Milwaukee, WI

1669109641

MRS. APNP, PMHNP-BC Tilly Burroughs

Individual

Psychiatric/Mental Health Nurse Practitioner

1114 56th St

Kenosha, WI

1881319242

Shong Chang

Individual

Physical Therapy Assistant

10 Tower Dr

Sun Prairie, WI

1578288924

Golden Medical Transportation Llc

Organization

Non-emergency Medical Transport (VAN)

1740 E Mason St # 5

Green Bay, WI

1043862386

LCSW, SAC-IT Alexandra Duvall

Individual

Clinical Social Worker

540 College St

Medford, WI

1073238424

D-PT Rachel Ann Lohrengel

Individual

Physical Therapist

744 S Webster Ave

Green Bay, WI

1225531353

LPC Rebecca A Richards

Individual

Professional Counselor

820 Washington St

Manitowoc, WI

1932468576

DR. D.O. Meredith Caroline Schaffner

Individual

Medical Oncology Physician

1836 South Ave

La Crosse, WI

1396460739

Rebecca Fafard

Individual

Case Manager/Care Coordinator

702 W Main St

Madison, WI

1811916281

Fort Healthcare, Inc.

Organization

General Acute Care Hospital

611 Sherman Ave E

Fort Atkinson, WI

1447304340

Fort Healthcare, Inc.

Organization

Skilled Nursing Facility

611 Sherman Ave E

Fort Atkinson, WI

1417993361

Fort Healthcare Inc

Organization

Counselor

611 Sherman Ave E

Fort Atkinson, WI

1669843223

MRS. LPC Holly L Doughty

Individual

Professional Counselor

120 E 4th St

Kaukauna, WI

1376680330

Fort Memorial Hospital

Organization

Non-Pharmacy Dispensing Site

611 Sherman Ave E

Fort Atkinson, WI

1417450115

Fort Healthcare Inc

Organization

Rural Health Clinic/Center

500 Mcmillen St

Fort Atkinson, WI

1063566966

Fort Healthcare, Inc

Organization

Home Health Agency

611 Sherman Ave E

Fort Atkinson, WI

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