NPI 1659600575

Northreach Healthcare Lab and Xray

Organisation Clinical Medical Laboratory Marinette, WI

Practice location

Address: 3123 Shore Dr Suite 103, Marinette, WI 54143-4287
Phone: (715) 735-8046
Fax: (715) 735-8047

Authorised official

Name: Calvin Nogler
Title: Director
Phone: (715) 735-8046

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 52-D0394498 (WI)

Other Clinical Medical Laboratory providers in Wisconsin →

Registry record

NPI: 1659600575
Entity type: Organization
NPI issued: 24 Dec 2009
Record last updated: 24 Dec 2009

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.