GUNDERSEN CLINIC, LTD. (NPI# 1619183993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619183993 |
| Entity Type | Organization |
| Organization Name | GUNDERSEN CLINIC, LTD. |
| Other Organization Name | GL MICROBIOLOGY RESEARCH LAB |
| Practice Address |
1300 Badger St La Crosse WI 54601-1502 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6087827300 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | KARI B ADANK (CCO) |
| Authorized Official Telephone | 6087758025 |
| Is Organization Subpart | Y |
| Parent Organization Name | GUNDERSEN CLINIC, LTD. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| GL Microbiology Research Lab | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013137660 | Gundersen Clinic, Ltd. | Clinic/Center | 1500 Peebles Dr, Richland Center, WI 53581-2940 | 2007-04-26 |
| 1588604342 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 111 E Riverfront St, Winona, MN 55987-3456 | 2006-06-08 |
| 1730129446 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 121 East Main Street, Ossian, IA 52161 | 2006-06-08 |
| 1023064078 | Gundersen Clinic, Ltd. | Clinic/Center | 118 S Marquette Rd, Prairie Du Chien, WI 53821-1640 | 2006-05-25 |
| 1164477675 | Gundersen Clinic, Ltd. | Clinic/Center | 111 S Reynolds, Postville, IA 52162 | 2006-05-23 |
| 1831144302 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-05-23 |
| 1417902933 | Gundersen Clinic, Ltd. | Clinic/Center | 50 North 4th Street, Lansing, IA 52151 | 2006-05-23 |
| 1114971751 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 106 E 2nd St, Winona, MN 55987-3410 | 2006-05-19 |
| 1497708044 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 505 Gopher Dr, Tomah, WI 54660-4513 | 2006-05-17 |
| 1780636480 | Gundersen Clinic, Ltd. | Clinic/Center | 35791 Osseo Rd, Independence, WI 54747-9096 | 2006-05-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GUNDERSEN CLINIC, LTD. | 1836 South Avenue, La Crosse, WI 54601 |
| Street Address |
1300 BADGER ST |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684118 | Brian Kenelm Allen | Pediatrics | 1300 Badger St, Student Health Center, La Crosse, WI 54601-1502 | 2005-07-28 |
| 1215208202 | Colleen Paramesh | Nurse Practitioner | 1300 Badger St, La Crosse, WI 54601-1502 | 2012-01-23 |
| 1306098397 | La Crosse Community Dental | Clinic/Center | 1300 Badger St, La Crosse, WI 54601-1502 | 2008-10-21 |
| 1265605265 | Western Wisconsin Oral Health Initiative | Clinic/Center | 1300 Badger St, Health Science Center, La Crosse, WI 54601-1502 | 2008-04-10 |
| 1063682938 | Uw - La Crosse Student Health Center | Clinic/Center | 1300 Badger St, Suite 1030, La Crosse, WI 54601-1502 | 2008-03-07 |
| 1700080199 | Sylvia V Vanatta | Family Medicine | 1300 Badger St, Suite 1030, La Crosse, WI 54601-1502 | 2007-06-12 |
| 1730382094 | Kristin Elna Swanson | Family Medicine | 1300 Badger St, Uw-la Crosse Student Health Center, La Crosse, WI 54601-1502 | 2007-06-06 |
| 1811986938 | Dennis Carl Loeffler | Dentist | 1300 Badger St, La Crosse, WI 54601-1502 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382481 | Elicia A Liebe | Clinical Medical Laboratory | 4733 W Montana St, Milwaukee, WI 53219-3375 | 2020-09-26 |
| 1881203826 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 4852 S 6th St, Milwaukee, WI 53221-2462 | 2020-07-27 |
| 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 | ||||
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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.