Organization Active NPI

Essence of Truth Clinical Lab, LLC

  • Clinical Medical Laboratory
  • Milwaukee, WI
National Provider Identifier
1023760097
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ESSENCE OF TRUTH CLINICAL LAB, LLC
Practice address
4911 W Good Hope Rd Ste D
Milwaukee, WI 53223-4840
Phone
(414) 405-9002
NPI assigned
Jan 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Latrina Kingsby, RNNPI 1164185773
Title
Lab Director
Phone
(414) 405-9002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4911 W Good Hope Rd Ste D
Milwaukee, WI 53223-4840

Mailing address

7034 N 55TH St Apt C
Milwaukee, WI 53223-6336
Phone (414) 405-9002

National Provider Directory

National Provider Directory

Locations

4911 W Good Hope Rd
Ste D
Milwaukee, WI 53223
Phone (414) 405-9002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1023760097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7034 N 55TH ST APT C",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532236336",
            "telephone_number": "414-405-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 W GOOD HOPE RD STE D",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532234840",
            "telephone_number": "414-405-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE OF TRUTH CLINICAL LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "KINGSBY",
        "authorized_official_first_name": "LATRINA",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "414-405-9002",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.