Ameripath Milwaukee SC

Organization Active NPI Clinical Medical Laboratory · Brookfield, WI

NPI 1124160601 · NPPES record last updated May 2, 2014

Key facts

NPI
1124160601
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
AMERIPATH MILWAUKEE SC
Practice address
12805 W Burleigh Rd
Suite 200
Brookfield, WI 53005-3111
Phone
(414) 732-2577
Fax
(414) 476-2975
NPI assigned
Feb 13, 2007
Organization subpart
Yes
Parent organization (as reported)
AMERIPATH INC.

Authorized official

Name
Dr. Edward M Kramer
Title
VP
Phone
(610) 550-3000

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 16

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

12805 W Burleigh Rd
Suite 200
Brookfield, WI 53005-3111

Mailing address

14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (214) 932-8029

Other identifiers

IdentifierTypeStateIssuer
52D1105971OtherWICLIA
1124160601MedicaidWI

Other providers in Brookfield, WI

All providers in Brookfield, WI · Clinical Medical Laboratory in Wisconsin

Sources for this page

Verify at the official NPI Registry.