Michael J. Phillips, M.D., S.C.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

MICHAEL J. PHILLIPS, M.D., S.C.

Doing business as

Laboratory Pathology Services

Practice address

791 E Summit Ave
Oconomowoc, WI 53066-3844

Phone

(262) 569-0619

Fax

(262) 569-0697

NPI assigned

Nov 23, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael J Phillips, M.D.NPI 1124001938

Title

President

Phone

(262) 569-0619

Specialties & licenses 1

Addresses

Other names 1

• Laboratory Pathology Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Phillips, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Oconomowoc, WI
  • NPI 1124001938
  Authorized official Same address or phone

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033192091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 INDUSTRIAL LOOP",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292452",
            "telephone_number": "414-423-4100",
            "fax_number": "414-423-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 E SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663844",
            "telephone_number": "262-569-0619",
            "fax_number": "262-569-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. PHILLIPS, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-569-0619",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratory Pathology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Eye Associates, S.C.
• Alisha F Mell, OT
• Michael S Messer, D.D.S.
• Micayla Meyers Madell, DNP
• Sarah Meyers, CCC-SLP
• Michael Jay Phillips, MD, SC
• Michael R Traub D.C. LTD (Traub Chiropractic)
• James A Michaels, DDS
• Midwest Health Services Inc
• Michelle M Mielke, MD

• Clinical Pathology/Laboratory Medicine Physician in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Clinical Pathology/Laboratory Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.