Whalio Doctors

NPI 1003953019

Northreach Healthcare LLC

Organisation Clinical Medical Laboratory Marinette, WI

Practice location

Address
3200 Shore Dr Upper Level, Marinette, WI 54143-4202
Phone
(715) 732-8645
Fax
(715) 732-8652
Mailing address
3120 Riverside Ave Gate B Building 1, Marinette, WI 54143-6007

Authorised official

Name
Denise K Stroobants
Title
Credentialing Specialist
Phone
(920) 445-7226

Registered specialties (2)

Clinical Medical Laboratory Primary
Laboratories Taxonomy 291U00000X Licence 52D0394498
Clinical Medical Laboratory
Laboratories Taxonomy 291U00000X Licence 52D2088280 (WI)

Registry record

NPI
1003953019
Entity type
Organization
NPI issued
31 Jan 2007
Record last updated
16 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.