NPIMap

Organization Active NPI

Wisconsin Community Services, Inc.

Doing business as Unlimited Potential

  • Clinical Medical Laboratory
  • Milwaukee, WI
National Provider Identifier
1508027905
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
52D0914885 Issued in WI
Legal business name
WISCONSIN COMMUNITY SERVICES, INC.
Doing business as
Unlimited Potential
Practice address
230 W. Wells St.
Suite 500
Milwaukee, WI 53203-1845
Phone
(414) 290-0440
Fax
(414) 226-0351
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Mrs. Hollis Ann Patzer
Title
Executive Director
Phone
(414) 290-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 52D0914885 WI Primary

Addresses

Primary practice location

230 W. Wells St.
Suite 500
Milwaukee, WI 53203-1845

Mailing address

3732 W. Wisconsin Avenue
Milwaukee, WI 53208-3166
Phone (414) 290-0400

Other identifiers 1

IdentifierTypeStateIssuer
32920400MedicaidWI

Other names 1

  • Unlimited Potential Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wisconsin Community Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1508027905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 W. WISCONSIN AVENUE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083166",
            "telephone_number": "414-290-0400",
            "fax_number": "414-271-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W. WELLS ST.",
            "address_2": "SUITE 500",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031845",
            "telephone_number": "414-290-0440",
            "fax_number": "414-226-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "PATZER",
        "authorized_official_first_name": "HOLLIS",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-290-0400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WI",
            "license": "52D0914885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32920400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unlimited Potential",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 11, 2014; 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.