NPIMap

Organization Active NPI

University of Wisconsin System Non Payroll

  • Clinical Medical Laboratory
  • Madison, WI
National Provider Identifier
1124155403
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
52D0662277CLIA Issued in WI
Legal business name
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Practice address
1500 Highland Ave
Waisman Center RM 362
Madison, WI 53705-2280
Phone
(608) 263-5993
Fax
(608) 263-0530
NPI assigned
Feb 27, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jon A Wolff, MD
Title
Director
Phone
(608) 263-5993

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Uw Systems (25 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 52D0662277CLIA WI Primary

Addresses

NPPES NPI Registry

Primary practice location

1500 Highland Ave
Waisman Center RM 362
Madison, WI 53705-2280

Mailing address

1500 Highland Ave
Waisman Center RM 362
Madison, WI 53705-2280
Phone (608) 263-5993

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
32907000MedicaidWI
000089834OtherWIMEDICARE

Other names 1

NPPES NPI Registry
  • Univ of WI System Biochemical Genetics Lab Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2024.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1124155403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HIGHLAND AVE",
            "address_2": "WAISMAN CENTER RM 362",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052280",
            "telephone_number": "608-263-5993",
            "fax_number": "608-263-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HIGHLAND AVE",
            "address_2": "WAISMAN CENTER RM 362",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052280",
            "telephone_number": "608-263-5993",
            "fax_number": "608-263-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-263-5993",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WI",
            "license": "52D0662277CLIA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32907000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "000089834",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Univ of WI System Biochemical Genetics Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.