Moreland Medical Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MORELAND MEDICAL LABORATORY, LLC

Practice address

1111 Delafield St
Suite 301
Waukesha, WI 53188-3417

Phone

(888) 317-0769

Fax

(888) 317-0769

NPI assigned

Dec 20, 2014

Organization subpart

No

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

Authorized official

Name

Henry Randolph Hopkinson

Title

Member

Phone

(321) 514-4992

Specialties & licenses 1

Addresses

Other names 1

• Moreland Medical Laboratory Doing business as

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

{
    "created_epoch": "1419033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1184022360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST",
            "address_2": "SUITE 301",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883417",
            "telephone_number": "888-317-0769",
            "fax_number": "888-317-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST",
            "address_2": "SUITE 301",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883417",
            "telephone_number": "888-317-0769",
            "fax_number": "888-317-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORELAND MEDICAL LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-20",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "HOPKINSON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "321-514-4992"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moreland Medical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Lyn Moravec
• Moreland Ear Nose & Throat Group LTD
• Moreland Family Medicine Associates, S.C.
• Moreland Medical Center
• Moreland Medical Center X-Ray
• Moreland OB-GYN Associates S C
• Moreland Plaza Pharmacy, Inc
• Moreland Plaza Pharmacy, Inc
• Carrie Morgan
• Keith Morgan, R. EEG T.

• Clinical Medical Laboratory in Waukesha, WI
• Providers in Waukesha, 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 Sep 18, 2015; 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.