Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREEN LAKE MEDICAL CLINIC
Active OrganizationGREEN LAKE MEDICAL CLINIC is a Clinical Medical Laboratory organization located in GREEN LAKE, Wisconsin. NPI 1316087885 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · GREEN LAKE, WI
Registration Details
- NPI Number
- 1316087885
- Provider Type
- Organization
- NPI Issued
- Feb 7, 2007 (19.556087207454 yrs)
- Last Updated
- Aug 22, 2020
- License
-
17659 (WI)
Practice Information
- Address
-
N6205 BUSSE DRIVEGREEN LAKE, WI, 549410429Browse WI providers · Browse ZIP 54941
- Phone
- 9202943444
- Fax
- 9202946660
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.