NPI 1922258540

Kenosha Vascular Laboratory

Organisation Specialist Kenosha, WI

Practice location

Address: 6308 8th Ave STE 301, Kenosha, WI 53143-5031
Phone: (262) 656-8265

Authorised official

Name: Rose M Techert
Title: Billing
Phone: (262) 656-8265

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 22193 (WI)

Other Specialist providers in Wisconsin →

Registry record

NPI: 1922258540
Entity type: Organization
NPI issued: 19 Sep 2008
Record last updated: 19 Sep 2008

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.