NURSEGENICS LLC NPI 1205683737

NPI Information

  • NPI: 1205683737
  • Provider Name: NURSEGENICS LLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • CLIA Number: 52D2307295
  • Address: 2363 S 102ND ST STE 202
    WEST ALLIS, WI
    ZIP 53227
  • Phone: (262) 417-1195

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NPI Details

NURSEGENICS LLC is a health service clinic center in West Allis, WI. NURSEGENICS LLC NPI is 1205683737. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2363 S 102ND ST STE 202
WEST ALLIS, WI
ZIP 53227-143
Phone: (262) 417-1195

The provider's authorized official is Audryunna Tahqwela Tate .
The authorized official title is Owner and has the following contact phone number (414) 982-8738.

The CLIA number assigned to this NPI record is 52D2307295 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2024 and was last updated on 5/2/2024.

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
1163W00000XRegistered NurseNo
2164W00000XLicensed Practical NurseNo
3246RP1900XTechnician, PathologyPhlebotomyNo
4251J00000XNursing CareNo
5253Z00000XIn Home Supportive CareNo
6261QH0100XClinic/CenterHealth ServiceYes
7372600000XAdult CompanionNo
8374U00000XHome Health AideNo

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: 11/21/2025

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