Quad Med Dental West Allis

LBN: Quad/Med, Llc
Quad Med Dental West Allis is an health care organization with primary practice located at 555 S 108Th St , West Allis WI 53214-1145. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Quad/Med, Llc can be contacted via phone (414) 566-3725, or through Poulsen, Robert L via phone (414) 566-8400.

Contact Information

Primary practice address
555 S 108Th St West Allis WI 53214-1145
Phone: (414) 566-3725
Fax: (414) 566-3900
Website:
Map and Directions
Authorized official contact:
Name: Poulsen, Robert L
Phone: (414) 566-8400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1174089130
LBN Legal business name Quad/Med, Llc
DBA Doing business as Quad Med Dental West Allis
Authorized official Poulsen, Robert L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2019
Last updated Feb 10th, 2021 - about 5 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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