NPI Details
DERMATOPATHOLOGY OF WISCONSIN SC is a clinical medical laboratory in Brookfield, 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. DERMATOPATHOLOGY OF WISCONSIN SC NPI is 1164494142. The provider is registered as an organization entity type.
The provider Other Name Is Dermpath Diagnostics Of Wi.
The provider's business location address is:
12805 W BURLEIGH RD
SUITE 200
BROOKFIELD, WI
ZIP 53005-111
Phone: (262) 797-6434
Fax: (262) 797-6429
The provider's authorized official is Darren Thomas Wheeler .
The authorized official title is Vice President and has the following contact phone number (702) 733-7866.
The CLIA number assigned to this NPI record is 52D0661946 - independent with a certificate type of Certificate of Accreditation.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- Surgical pathology consultation and report on referred slides prepared elsewhere (HCPCS:88321)
- Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
- Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
- Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
- Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
- Surgical pathology consultation and report on referred material requiring preparation of slides (HCPCS:88323)
- Special stained specimen slides to examine tissue, each multiplex procedure (HCPCS:88344)
- Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
The enumeration date for this NPI number is 2/3/2006 and was last updated on 9/20/2024.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | 52D0661946 | WISCONSIN | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1164494142 | MEDICAID | MICHIGAN | |
| 2 | 5585170 | MEDICAID | SOUTH DAKOTA | |
| 3 | 32911800 | MEDICAID | WISCONSIN | |
| 4 | 0765271 | MEDICAID | IOWA | |
| 5 | 14900 | MEDICAID | NORTH DAKOTA | |
| 6 | 749475100 | MEDICAID | MINNESOTA | |
| 7 | 52D1105706 | OTHER | WISCONSIN | CLIA |
