Endeavor Testing Center LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

ENDEAVOR TESTING CENTER LLC

Practice address

11649 N Port Washington Rd
Mequon, WI 53092-3460

Phone

(262) 241-8022

Fax

(262) 241-8047

NPI assigned

Aug 11, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Irene BlockNPI 1548357494

Title

Administrator

Phone

(262) 241-8892

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 3

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

• Karen Irene Block, CRT

  • SNF/Subacute Care Registered Respiratory Therapist
  • Mequon, WI
  • NPI 1548357494
  NPD Authorized official
• Anthony A Rieder, M.D.

  • Otolaryngology Physician
  • Wauwatosa, WI
  • NPI 1710989090
  NPD
• Steven M Brown, M.D.

  • Pulmonary Disease Physician
  • Chesterfield, MO
  • NPI 1619960655
  NPD

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1194727941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11649 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923460",
            "telephone_number": "262-241-8022",
            "fax_number": "262-241-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11649 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923460",
            "telephone_number": "262-241-8022",
            "fax_number": "262-241-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR TESTING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "262-241-8892",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21278500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl S L Eisenberg, MD
• Drew M Elgin, M.D.
• Sara Ellefson, AUD
• Anna Maria Emmerich, PT
• Dana Elise Emold, MS, LPC, SAC
• Endeavor Therapy LLC
• Sarah Armstrong Endrizzi, MD
• Dennis Walter Engel, DDS
• Ellie Engeldinger
• Christina Englebert, M.D.

• Sleep Disorder Diagnostic Clinic/Center in Mequon, WI
• Providers in Mequon, WI by specialty
• Sleep Disorder Diagnostic Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.