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CONSULTANTS LABORATORY OF WISCONSIN LLC NPI 1073847471


NPI Information

NPI: 1073847471
Provider Name: CONSULTANTS LABORATORY OF WISCONSIN, LLC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 52D0990643

Address:
790 EASTGATE DR
RIPON, WI
ZIP 54971
Phone: (920) 929-9300
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CONSULTANTS LABORATORY OF WISCONSIN, LLC is a clinical medical laboratory in Ripon, WI. The provider is (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. CONSULTANTS LABORATORY OF WISCONSIN, LLC NPI is 1073847471. The provider is registered as an organization entity type.

The provider's business location address is:

790 EASTGATE DR
RIPON, WI
ZIP 54971
Phone: (920) 929-9300

The provider's authorized official is Deborah L Christian .
The authorized official title is Supervisor Revenue Cycle and has the following contact phone number (920) 926-5840.

The CLIA number assigned to this NPI record is 52D0990643 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2009 and was last updated on 12/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
152D1104620OTHERWISCONSINCLIA CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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