Active NPI
Runkel Bros Trading Company Inc
- Clinical Medical Laboratory
- Greenfield, WI
National Provider Identifier
1831849652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- RUNKEL BROS TRADING COMPANY INC
- Practice address
- 4629 S 108TH St
Greenfield, WI 53228 - Phone
- (262) 844-2952
- NPI assigned
- Mar 25, 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
- Craig Runkel
- Title
- Owner
- Phone
- (262) 844-2952
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
4629 S 108TH St
Greenfield, WI 53228
Mailing address
5220 S Skyline Dr
New Berlin, WI 53151-8062
Phone (262) 844-2952
Other names 1
- RUNKEL BROS TRADING COMPANY INC
National Provider Directory
National Provider Directory- Tax ID family
- Runkel Bros Trading Company Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Waukesha, WI
- NPI 1255089652
Locations
4629 S 108th St
Greenfield, WI 53228
Phone (262) 844-2952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648166400000",
"number": "1831849652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 S SKYLINE DR",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531518062",
"telephone_number": "262-844-2952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4629 S 108TH ST",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "53228",
"telephone_number": "262-844-2952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUNKEL BROS TRADING COMPANY INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-25",
"last_updated": "2022-03-25",
"certification_date": "2022-03-14",
"status": "A",
"authorized_official_last_name": "RUNKEL",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-844-2952"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RUNKEL BROS TRADING COMPANY INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.