Organization Active NPI

Speciality Screening LLC

  • Clinical Medical Laboratory
  • Wauwatosa, WI
National Provider Identifier
1821482860
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SPECIALITY SCREENING LLC
Practice address
10111 W Capitol Dr
Suite 3
Wauwatosa, WI 53222-1335
Phone
(773) 426-5060
Fax
(773) 353-1668
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Ann Cleveland
Title
Ceo
Phone
(205) 539-1194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

10111 W Capitol Dr
Suite 3
Wauwatosa, WI 53222-1335

Mailing address

10111 W Capitol Dr
Suite 3
Wauwatosa, WI 53222-1335
Phone (773) 426-5060

National Provider Directory

National Provider Directory

Locations

10111 W Capitol Dr
Ste 3
Wauwatosa, WI 53222
Phone (262) 210-7519

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1821482860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 W CAPITOL DR",
            "address_2": "SUITE 3",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532221335",
            "telephone_number": "773-426-5060",
            "fax_number": "773-353-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 W CAPITOL DR",
            "address_2": "SUITE 3",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532221335",
            "telephone_number": "773-426-5060",
            "fax_number": "773-353-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALITY SCREENING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-539-1194"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.