Milwaukee Midwest Medical Lab

LBN: Milwaukee Midwest Medical Lab
Milwaukee Midwest Medical Lab is an health care organization with primary practice located at 756 N 35Th St Ste 103 , Milwaukee WI 53208-3360. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Milwaukee Midwest Medical Lab can be contacted via phone (414) 342-8463, or through Thong, Phillip via phone (414) 342-8463.

Contact Information

Primary practice address
756 N 35Th St Ste 103 Milwaukee WI 53208-3360
Phone: (414) 342-8463
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thong, Phillip
Phone: (414) 342-8463

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X Wisconsin

Profile Details

NPI number 1508087974
LBN Legal business name Milwaukee Midwest Medical Lab
DBA Doing business as
Authorized official Thong, Phillip
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2007
Last updated Aug 22nd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508087974 NPPES
Wisconsin MEDICAID 32931800

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