Active NPI
Oakleaf Clinics Inc
- Clinical Medical Laboratory
- Eau Claire, WI
National Provider Identifier
1669864450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- OAKLEAF CLINICS INC
- Practice address
- 3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016 - Phone
- (715) 839-9280
- Fax
- (715) 839-9348
- NPI assigned
- Mar 3, 2015
- Organization subpart
- Yes
- Parent organization
- OAKLEAF CLINICS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chris R Longbella, MD
- Title
- Director
- Phone
- (715) 836-9242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Mailing address
719 W Hamilton Ave Ste B
Eau Claire, WI 54701-6970
Phone (715) 552-9784
Other practice location 1
855 Lakeland Dr
Chippewa Falls, WI 54729-1687
Phone (715) 839-9280
Other practice location 2
3221 Stein Blvd Ste 4
Eau Claire, WI 54701-4399
Phone (715) 834-2788
Other practice location 3
2741 N Clairemont Ave Ste D
Eau Claire, WI 54703-2595
Phone (715) 834-0711
Other practice location 4
431 E Clairemont Ave Ste C
Eau Claire, WI 54701-6480
Phone (715) 514-5724
Other names 1
- Oakleaf Clinics, Eau Claire Medical Clinic Lab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110602000195 | WI | Part B Supplier - Clinic/Group Practice | 4486831328 |
Receives reassigned benefits from 120 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rice Lake, WI; Menomonie, WI; Ladysmith, WI; Eau Claire, WI; Cornell, WI; Chippewa Falls, WI; Altoona, WI |
Other NPIs on the same Medicare enrollment 15
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0989506 | Oakleaf Clinics SC | Compliance | Feb 12, 2027 |
| 52D2171289 | Oakleaf Clinics - Chippewa Falls | Compliance | Sep 27, 2026 |
National Provider Directory
National Provider Directory- Part of
- Oakleaf Clinics SC
Locations
3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 552-9784
2741 N Clairemont Ave
Ste D
Eau Claire, WI 54703
Phone (715) 834-0711
2919 Stout Rd
Menomonie, WI 54751
Phone (715) 235-4274
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Eau Claire, WI
- NPI 1376503615
-
- Psychiatry Physician
- Eau Claire, WI
- NPI 1427004126
-
- Pediatrics Physician
- Eau Claire, WI
- NPI 1609812981
-
- Family Medicine Physician
- Eau Claire, WI
- NPI 1154901353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663718400000",
"number": "1669864450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 W HAMILTON AVE STE B",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016970",
"telephone_number": "715-552-9784",
"fax_number": "715-835-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3802 OAKWOOD MALL DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013016",
"telephone_number": "715-839-9280",
"fax_number": "715-839-9348"
}
],
"practiceLocations": [
{
"address_1": "855 Lakeland Dr",
"address_purpose": "LOCATION",
"city": "Chippewa Falls",
"state": "WI",
"postal_code": "547291687",
"country_code": "US",
"telephone_number": "715-839-9280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3221 Stein Blvd Ste 4",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547014399",
"country_code": "US",
"telephone_number": "715-834-2788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2741 N Clairemont Ave Ste D",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547032595",
"country_code": "US",
"telephone_number": "715-834-0711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "431 E Clairemont Ave Ste C",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547016480",
"country_code": "US",
"telephone_number": "715-514-5724",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OAKLEAF CLINICS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OAKLEAF CLINICS INC",
"enumeration_date": "2015-03-03",
"last_updated": "2022-09-21",
"certification_date": "2022-08-31",
"status": "A",
"authorized_official_last_name": "LONGBELLA",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "715-836-9242",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oakleaf Clinics, Eau Claire Medical Clinic Lab",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Oakleaf Clinics, Eau Claire Medical Clinic Lab",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.