CONSULTANTS LABORATORY OF WI, LLC (NPI# 1912049016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912049016 |
| Entity Type | Organization |
| Organization Name | CONSULTANTS LABORATORY OF WI, LLC |
| Practice Address |
723 Park Ridge Ln North Fond Du Lac WI 54937-1385 |
| Mailing Address |
430 E Division St Fond Du Lac WI 54935-4560 |
| Practice Telephone | 9209268610 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-01-24 |
| Authorized Official Name | MS. DEBORAH CHRISTIAN (PATIENT ACCOUNTS SUPERVISOR) |
| Authorized Official Telephone | 9209265840 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONSULTANTS LABORATORY OF WI, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32935100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073847471 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 790 Eastgate Dr, Ripon, WI 54971 | 2009-10-01 |
| 1043352990 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 620 Brown St, Waupun, WI 53963 | 2007-02-13 |
| 1427190529 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 100 S County Rd W, Mount Calvary, WI 53057-9507 | 2007-02-13 |
| 1043352081 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 1175 N Margaret St, Markesan, WI 53946 | 2007-02-13 |
| 1093952384 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 912 S Hickory St, Fond Du Lac, WI 54935-5530 | 2009-01-08 |
| 1871636605 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 145 N Main St, Fond Du Lac, WI 54935-3423 | 2007-02-14 |
| 1033251350 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 601 E Clark St, Brandon, WI 53919-9549 | 2007-02-13 |
| 1275675217 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 350 E Sheboygan St, Campbellsport, WI 53010 | 2007-02-13 |
| 1497897565 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 703 W State St, Fox Lake, WI 53933-9550 | 2007-02-13 |
| 1497897581 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 360 S Mountin Dr, Mayville, WI 53050-1498 | 2007-02-13 |
| Street Address |
723 PARK RIDGE LN |
| City | NORTH FOND DU LAC |
| State | WI |
| Zip Code | 54937-1385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487645966 | Douglas R Fownes | Family Medicine | 723 Park Ridge Ln, North Fond Du Lac, WI 54937-1385 | 2005-11-02 |
| 1063899656 | Kandipati Sreenivasarao | Family Medicine | 723 Park Ridge Ln, North Fond Du Lac, WI 54937-1385 | 2015-05-03 |
| 1093056285 | Teela Koski | Pharmacist | 723 Park Ridge Ln, North Fond Du Lac, WI 54937-1385 | 2013-03-13 |
| 1962795823 | Elizabeth Downing Strittmatter | Family Medicine | 723 Park Ridge Ln, North Fond Du Lac, WI 54937-1385 | 2011-05-25 |
| 1881685261 | Russell J Fredrickson | Family Medicine | 723 Park Ridge Ln, North Fond Du Lac, WI 54937-1385 | 2005-11-03 |
| 1770574162 | Denise Gatien Brux | Nurse Practitioner | 723 Park Ridge Ln, North Fond Du Lac, WI 54937-1385 | 2005-11-03 |
| 1043201403 | Barbara H Franck | Family Medicine | 723 Park Ridge Ln, North Fond Du Lac, WI 54937-1385 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523774 | Lisa Diane Brown | Social Worker | W3950 Wi-23 Trunk, Fond Du Lac, WI 54937 | 2019-11-25 |
| 1538700083 | Kristine Karpen | Technician | 1812 Thurke Ave, North Fond Du Lac, WI 54937 | 2019-10-07 |
| 1962719245 | James Hugh Rupple | Ophthalmology | W4410 Mary Hill Park, Fond Du Lac, WI 54937 | 2010-09-08 |
| 1467591131 | Rosonna Sue Comers | Social Worker | N6687 Wrightway Dr, Ste D, Fond Du Lac, WI 54937 | 2007-02-06 |
| 1487731741 | Daniel James Kierstead | Optometrist | 377 N Rollings Meadows Dr, Fond Du Lac, WI 54937 | 2006-11-01 |
| 1528519758 | Betty Xiong | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-10-24 |
| 1598112963 | Jennifer M Halbach | Nurse Practitioner | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-05-16 |
| 1548667231 | Tanya Watry | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2014-11-25 |
| 1578813606 | Joline Brotzman | Nurse Practitioner | 700 Park Ridge Ln, North Fond Du Lac, WI 54937 | 2012-09-17 |
| 1306085998 | Forefront Dermatology, S.c. | Dermatology | 111 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2009-02-05 |
| Find all providers in zip 54937 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
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| 1043854144 | Stemina Biomarker Discovery, Inc. | Clinical Medical Laboratory | 504 S Rosa Rd Ste 150, Madison, WI 53719-1218 | 2019-10-31 |
| 1881238269 | Derek Raymond Schindler | Clinical Medical Laboratory | 680 Baker Rd, Hudson, WI 54016-7901 | 2019-10-29 |
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1003391269 | Precise Testing LLC | Clinical Medical Laboratory | 6815 W Capitol Dr Ste 105, Milwaukee, WI 53216-2056 | 2018-10-03 |
| 1992286074 | Rprd Diagnostics LLC | Clinical Medical Laboratory | 1225 Discovery Parkway, Suite 260, Milwaukee, WI 53226 | 2018-08-27 |
| 1164938916 | Tai Diagnostics, Inc. | Clinical Medical Laboratory | 10101 W Innovation Dr Ste 600, Wauwatosa, WI 53226-4824 | 2017-12-15 |
| 1831619535 | Laboratory Corporation of America | Clinical Medical Laboratory | 1111 Delafield St Ste 301, Waukesha, WI 53188-3407 | 2017-06-23 |
| 1558896498 | Noah Associates Incorporated | Clinical Medical Laboratory | 10501 W Greenfield Ave, West Allis, WI 53214-2421 | 2017-04-28 |
| Find all providers with the same taxonomy | ||||
| City | NORTH FOND DU LAC |
| Zip Code | 54937 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.