Organization Active NPI

Reditus Laboratories

  • Clinical Medical Laboratory
  • Milwaukee, WI
National Provider Identifier
1407518848
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jul 13, 2022

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)CodeLicenseStatePrimary
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 Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.