Active NPI
Mke Health Solutions LLC
- Clinical Medical Laboratory
- Milwaukee, WI
National Provider Identifier
1649920596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MKE HEALTH SOLUTIONS LLC
- Practice address
- 4911 W Good Hope Rd # 103
Milwaukee, WI 53223-4840 - Phone
- (414) 885-3070
- NPI assigned
- Mar 24, 2022
- 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
- Felicia Latoria Alstork, RN
- Title
- Laboratory Director
- Phone
- (414) 885-3070
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
4911 W Good Hope Rd # 103
Milwaukee, WI 53223-4840
Mailing address
4911 W Good Hope Rd Ste 103
Milwaukee, WI 53223-4840
Phone (414) 885-3070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220325000953 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 9335534510 | Practice locations: Milwaukee, WI |
National Provider Directory
National Provider DirectoryLocations
4911 W Good Hope Rd
Ste 10
Milwaukee, WI 53223
Phone (414) 885-3709
4911 W Good Hope Rd
#103
Milwaukee, WI 53223
Phone (414) 885-3070
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinic/Center
- Milwaukee, WI
- NPI 1770238552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649980800000",
"number": "1649920596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4911 W GOOD HOPE RD STE 103",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532234840",
"telephone_number": "414-885-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4911 W GOOD HOPE RD # 103",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532234840",
"telephone_number": "414-885-3070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MKE HEALTH SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-24",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A",
"authorized_official_last_name": "ALSTORK",
"authorized_official_first_name": "FELICIA",
"authorized_official_middle_name": "LATORIA",
"authorized_official_title_or_position": "LABORATORY DIRECTOR",
"authorized_official_telephone_number": "414-885-3070",
"authorized_official_credential": "RN"
},
"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 Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.