Moreland Medical Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MORELAND MEDICAL CENTER

Doing business as

Moreland Medical Center Laboratory

Practice address

1111 Delafield St
Suite 301
Waukesha, WI 53188-3417

Phone

(262) 542-8020

Fax

(262) 650-4398

NPI assigned

Oct 6, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John Edward Stager

Title

Director of Ancillary Services

Phone

(262) 452-8020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moreland Medical Center Laboratory Doing business as

Practitioners 2

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.

• David D Schmitt, MD

  • Surgery Physician
  • Waukesha, WI
  • NPI 1346237906
  NPD
• Archebald J Pequet, MD

  • Surgery Physician
  • Waukesha, WI
  • NPI 1952398521
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1447248182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST",
            "address_2": "SUITE 301",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883417",
            "telephone_number": "262-542-8020",
            "fax_number": "262-650-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST",
            "address_2": "SUITE 301",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883417",
            "telephone_number": "262-542-8020",
            "fax_number": "262-650-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORELAND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "STAGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR OF ANCILLARY SERVICES",
        "authorized_official_telephone_number": "262-452-8020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32908800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moreland Medical Center Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jigeesha Mopidevi, DDS
• Cailey Moran
• Kimberly Lyn Moravec
• Moreland Ear Nose & Throat Group LTD
• Moreland Family Medicine Associates, S.C.
• Moreland Medical Center X-Ray (Moreland Medical X-Ray)
• Moreland Medical Laboratory, LLC (Moreland Medical Laboratory)
• Moreland OB-GYN Associates S C
• Moreland Plaza Pharmacy, Inc
• Moreland Plaza Pharmacy, Inc

• Clinical Medical Laboratory in Waukesha, WI
• Providers in Waukesha, 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 Mar 15, 2010; 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.