WISCONSIN COMMUNITY SERVICES, INC. DRUG EVALUATION LABORATORY (NPI# 1861615874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861615874 |
| Entity Type | Organization |
| Organization Name | WISCONSIN COMMUNITY SERVICES, INC. DRUG EVALUATION LABORATORY |
| Practice Address |
949 N 9th St Room 131e Milwaukee WI 53233-1422 |
| Mailing Address |
3732 W Wisconsin Ave Suite 200 Milwaukee WI 53208-3153 |
| Practice Telephone | 4142231329 |
| Practice Fax Number | 4142231836 |
| Mailing Telephone | 4142900400 |
| Mailing Fax Number | 4142714605 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-30 |
| Authorized Official Name | HOLLIS PATZER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4142900418 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 2133-800 | WI | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32920400 | 05 |
| Street Address |
949 N 9TH ST ROOM 131E |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538202262 | Pamela Charlene Prince | Nurse Practitioner | 949 N 9th St, Health Services Unit, Milwaukee, WI 53233-1422 | 2007-02-14 |
| 1285234526 | Susan Lietz | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2020-10-27 |
| 1598382004 | George Vanags | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2020-06-30 |
| 1336775170 | Barbara Rebekah Demares | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2020-03-12 |
| 1053886887 | Stacy Paula Cruz | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2018-10-08 |
| 1487163184 | Charles Dombeck | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2017-09-25 |
| 1659824266 | Kimberly Anne Krawczyk | Psychologist | 949 N 9th St, Milwaukee, WI 53233-1422 | 2016-07-31 |
| 1689929770 | Josie Lynn Veal | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2012-07-16 |
| 1790940963 | Michael Crispin Grebner | Family Medicine | 949 N 9th St, Health Services Unit, Milwaukee, WI 53233-1422 | 2008-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| 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 |
| 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 |
| 1972952851 | Lab Affinity LLC | Clinical Medical Laboratory | 2119 W Juneau Ave, Milwaukee, WI 53233-1118 | 2016-06-10 |
| 1902277353 | Prudent Diagnostics Laboratories | Clinical Medical Laboratory | 2564 N 124th St Apt 412, Milwaukee, WI 53226-1050 | 2015-10-12 |
| 1871849943 | Healthpath Diagnostics, LLC | Clinical Medical Laboratory | 6040 W Lisbon Ave Ste 101, Milwaukee, WI 53210-2116 | 2012-07-26 |
| 1750513776 | Hcs Medical Staffing, Inc. | Clinical Medical Laboratory | 5310 W Capitol Dr Ste 109, Milwaukee, WI 53216-2263 | 2009-08-11 |
| 1497982045 | Amri Counseling Services, LLC | Clinical Medical Laboratory | 1915 N Martin Luther King Jr. Drive, Milwaukee, WI 53212 | 2009-06-22 |
| 1508027905 | Wisconsin Community Services, Inc. | Clinical Medical Laboratory | 230 W. Wells St., Suite 500, Milwaukee, WI 53203-1845 | 2008-06-19 |
| Find all providers in MILWAUKEE | ||||
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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.