NPI 1164494142

Dermatopathology of Wisconsin Sc

Organisation Clinical Medical Laboratory Brookfield, WI

Practice location

Address: 12805 W Burleigh Rd Suite 200, Brookfield, WI 53005-3111
Phone: (262) 797-6434
Fax: (262) 797-6429
Mailing address: 14275 Midway Rd STE 400, Addison, TX 75001-3661

Authorised official

Name: Darren Thomas Wheeler
Title: Vice President
Phone: (702) 733-7866

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 52D0661946 (WI)

Other Clinical Medical Laboratory providers in Wisconsin →

Registry record

NPI: 1164494142
Entity type: Organization
NPI issued: 3 Feb 2006
Record last updated: 20 Sep 2024

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.