NPIMap

Organization Active NPI

Meriter Health Enterprises Inc.

  • Clinical Medical Laboratory
  • Madison, WI
National Provider Identifier
1346244993
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
52D0393626 Issued in WI
Legal business name
MERITER HEALTH ENTERPRISES INC.
Practice address
36 S Brooks St
Madison, WI 53715-1304
Phone
(608) 417-3869
Fax
(608) 417-3868
NPI assigned
Jun 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Beth Anne Erdman
Title
Cfo
Phone
(608) 417-6396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 52D0393626 WI Primary

Addresses

Primary practice location

36 S Brooks St
Madison, WI 53715-1304

Mailing address

36 S Brooks St
Madison, WI 53715-1304
Phone (608) 417-3869

Other identifiers 1

IdentifierTypeStateIssuer
32904300MedicaidWI

Other names 1

  • Meriter Laboratories Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070102000290 WI Part B Supplier - Independent Clinical Laboratory 1759294069 Practice locations: Madison, WI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0393626Meriter Laboratories36 S Brooks St, Madison, WI 53715AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Meriter Health Enterprises3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

36 S Brooks St
Madison, WI 53715
Phone (608) 267-6267

202 S Park St
Fl 2
Madison, WI 53715

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1346244993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 S BROOKS ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151304",
            "telephone_number": "608-417-3869",
            "fax_number": "608-417-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 S BROOKS ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151304",
            "telephone_number": "608-417-3869",
            "fax_number": "608-417-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERITER HEALTH ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "ERDMAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "608-417-6396"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WI",
            "license": "52D0393626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32904300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meriter Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meriter Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.