Lakeshore Medical Clinic, Ltd

LBN: Lakeshore Medical Clinic, Ltd
Lakeshore Medical Clinic, Ltd is an health care organization with primary practice located at 4131 W Loomis Rd Ste 110, Greenfield WI 53221-2057. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Urgent Care, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Lakeshore Medical Clinic, Ltd can be contacted via phone (414) 281-5153, or through Wasiullah, Masood via phone (414) 744-6589.

Contact Information

Primary practice address
4131 W Loomis Rd Ste 110 Greenfield WI 53221-2057
Phone: (414) 281-5153
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wasiullah, Masood Doctor of Medicine (MD)
Phone: (414) 744-6589

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1336337187
LBN Legal business name Lakeshore Medical Clinic, Ltd
DBA Doing business as
Authorized official Wasiullah, Masood Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2007
Last updated Apr 8th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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