Active NPI
Reditus Laboratories
- Clinical Medical Laboratory
- Milwaukee, WI
National Provider Identifier
1407518848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- REDITUS LABORATORIES
- Practice address
- 5500 W Florist Ave
Milwaukee, WI 53218-6155 - Phone
- (469) 498-0222
- NPI assigned
- Oct 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Hidder
- Title
- Cfo
- Phone
- (312) 890-6384
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
5500 W Florist Ave
Milwaukee, WI 53218-6155
Mailing address
200 Enterprise Dr
Pekin, IL 61554-9310
Phone (866) 736-0002
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Clinical Pathology/Laboratory Medicine Physician
- Plano, TX
- NPI 1891938999
Member Of
Locations
5500 W Florist Ave
Milwaukee, WI 53218
Phone (469) 498-0222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657670400000",
"number": "1407518848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ENTERPRISE DR",
"city": "PEKIN",
"state": "IL",
"postal_code": "615549310",
"telephone_number": "866-736-0002",
"fax_number": "469-498-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 W FLORIST AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532186155",
"telephone_number": "469-498-0222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDITUS LABORATORIES",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-13",
"last_updated": "2022-07-13",
"certification_date": "2022-01-10",
"status": "A",
"authorized_official_last_name": "HIDDER",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "312-890-6384"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.