Casitas Diagnostics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

53D0662012 Issued in WI

Legal business name

CASITAS DIAGNOSTICS INC

Doing business as

beaver dam reference laboratory

Practice address

707 S University Ave
Beaver Dam, WI 53916-3027

Phone

(888) 754-0451

NPI assigned

Jul 20, 2010

Last updated

Jul 21, 2010By 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

Joshua Pierce, M.D.

Title

President

Phone

(888) 754-0451

Specialties & licenses 1

Addresses

Other names 1

• beaver dam reference laboratory Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1144533084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11490 BURBANK BLVD",
            "address_2": "STE 1D",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012389",
            "telephone_number": "888-754-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S UNIVERSITY AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163027",
            "telephone_number": "888-754-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASITAS DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-754-0451",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WI",
            "license": "53D0662012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "beaver dam reference laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Burkett, MD
• Cheryl Lea Butler, NP
• Victor W. Caceres, M.D.
• Marsha Gail Cannon, RN
• Carla Jean Cartwright, SAC
• Colleen F Cassidy, MD
• Thomas A Castillo, DO
• Micheal E Ceizyk, PT
• Lyndsey Christenson, APNP
• Carol Christie, CRNA

• Clinical Medical Laboratory in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Clinical Medical Laboratory in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.