Sanctus Life Sciences LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SANCTUS LIFE SCIENCES LLC

Practice address

7200 Washington Ave Ste 109
Mt Pleasant, WI 53406-6516

Phone

(262) 417-6330

NPI assigned

Aug 27, 2024

Last updated

Aug 27, 2024By 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

Zechin Ni, BSBE, MLS

Title

Manager

Phone

(262) 417-6330

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glen Bordak, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Racine, WI
  • NPI 1588683718
  NPD

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1356175913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 WASHINGTON AVE STE 109",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534066516",
            "telephone_number": "262-417-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WASHINGTON AVE STE 109",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534066516",
            "telephone_number": "262-417-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUS LIFE SCIENCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "NI",
        "authorized_official_first_name": "ZECHIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "262-417-6330",
        "authorized_official_credential": "BSBE, MLS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Saigh
• Emily Saldivar
• Meghan Samson
• James Samuel, M.D.
• Sanan LLC (Interim Healthcare of RAcine and Kenosha)
• Sagalle L Sand, OT
• Sofia Beatriz Sandoval, BS, DNP, CNL, FNP-BC
• Erica Lynette Sanford, D.M.D.
• Radha Krishna Sanka, M.D.
• Julianne M Sauer, PA-C

• Clinical Medical Laboratory in Mount Pleasant, WI
• Providers in Mount Pleasant, 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 Aug 27, 2024; 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.