NPI 1871913624

Safeway Drivers Fitness Centers

Organisation Clinical Medical Laboratory Brookfield, WI

Practice location

Address: 333 Bishops Way Suite 109, Brookfield, WI 53005-6226
Phone: (262) 347-3724

Authorised official

Name: Jeff Borchardt
Title: Ceo
Phone: (414) 305-4043

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Wisconsin →

Registry record

NPI: 1871913624
Entity type: Organization
NPI issued: 20 Apr 2014
Record last updated: 20 Apr 2014

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.