DIAGNOSTIC & TREATMENT CENTER, LLC (NPI# 1740294636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740294636 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC & TREATMENT CENTER, LLC |
| Other Organization Name | DIAGNOSTIC & SURGICAL SERVICE CENTER, LLC |
| Practice Address |
3401 Cranberry Blvd Weston WI 54476 |
| Practice Telephone | 7153932489 |
| Practice Fax Number | 7152419475 |
| Mailing Telephone | 7153932489 |
| Mailing Fax Number | 7152419475 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-05-13 |
| Authorized Official Name | COLLEEN CHISNELL (SENIOR DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 7153932499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32942200 | 05 |
| Other Name | Type Code |
|---|---|
| Diagnostic & Surgical Service Center, LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427258250 | Diagnostic & Treatment Center, LLC | Community/Behavioral Health | 1818 Cole St, Enumclaw, WA 98022-3504 | 2007-07-19 |
| 1629152830 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-10-24 |
| 1841398591 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-09-20 |
| 1659385540 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-07-28 |
| 1023031366 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-07-26 |
| 1215953823 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-07-15 |
| Street Address |
3401 CRANBERRY BLVD |
| City | WESTON |
| State | WI |
| Zip Code | 54476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982671178 | Teri Ogiba | Occupational Therapist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2006-03-07 |
| 1154789089 | Connie Zebro | Speech-Language Pathologist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2016-02-06 |
| 1114392289 | Andria Smith | Speech-Language Pathologist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2015-12-01 |
| 1174839393 | Nicole Christine Berry | Speech-Language Pathologist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2010-08-25 |
| 1962737114 | Lisa Dickas | Speech-Language Pathologist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2009-10-06 |
| 1043381031 | Virginia Laurencia Cole | Physical Therapist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2006-11-13 |
| 1629152830 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-10-24 |
| 1841398591 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-09-20 |
| 1811009186 | Mary C Repking | Physical Therapist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2006-08-31 |
| 1659385540 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| 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 |
|---|---|---|---|---|
| 1760952790 | Marc Seth Schonberger | Clinical Medical Laboratory | 4059 Pinewood Ln, Weston, FL 33331-3818 | 2018-12-03 |
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|---|---|---|---|---|
| 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 |
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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.