SRG HEALTH LABS LLC NPI 1437882164

NPI Information

  • NPI: 1437882164
  • Provider Name: SRG HEALTH LABS LLC
  • Classification: Pathology - 247ZC0005X
  • Specialization: Clinical Laboratory Director, Non-physician
  • Entity Type: Organization
  • Address: 2317 INTERNATIONAL LN STE 114
    MADISON, WI
    ZIP 53704
  • Phone: (608) 471-4127

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NPI Details

SRG HEALTH LABS LLC is a clinical laboratory director and non-physician pathology in Madison, WI. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. SRG HEALTH LABS LLC NPI is 1437882164. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2317 INTERNATIONAL LN STE 114
MADISON, WI
ZIP 53704-154
Phone: (608) 471-4127
Fax: (855) 316-1039

The provider's authorized official is Sadeca Gullens .
The authorized official title is Clinical Lab Director and has the following contact phone number (608) 471-4127.

The enumeration date for this NPI number is 7/9/2022 and was last updated on 9/21/2023.

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
1247ZC0005XPathologyClinical Laboratory Director, Non-physicianYes

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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