Organization Active NPI

Mke Health Solutions LLC

  • Clinical Medical Laboratory
  • Milwaukee, WI
National Provider Identifier
1649920596
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Felicia Latoria Alstork, RNNPI 1770238552
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20220325000953 WI Part B Supplier - Mass Immunization (Roster Biller Only) 9335534510 Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.