NPIMap

Organization Active NPI

Wisconsin Community Services, Inc. Drug Evaluation Laboratory

  • Clinical Medical Laboratory
  • Milwaukee, WI
National Provider Identifier
1861615874
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
2133-800 Issued in WI
Legal business name
WISCONSIN COMMUNITY SERVICES, INC. DRUG EVALUATION LABORATORY
Practice address
949 N 9TH St
Room 131E
Milwaukee, WI 53233-1422
Phone
(414) 223-1329
Fax
(414) 223-1836
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Hollis Patzer
Title
Executive Director
Phone
(414) 290-0418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 2133-800 WI Primary

Addresses

Primary practice location

949 N 9TH St
Room 131E
Milwaukee, WI 53233-1422

Mailing address

3732 W Wisconsin Ave
Suite 200
Milwaukee, WI 53208-3153
Phone (414) 290-0400

Other identifiers 1

IdentifierTypeStateIssuer
32920400MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Wisconsin Community Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

949 N 9th St
Rm 131E
Milwaukee, WI 53233
Phone (414) 223-1329

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1861615874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 W WISCONSIN AVE",
            "address_2": "SUITE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083153",
            "telephone_number": "414-290-0400",
            "fax_number": "414-271-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 N 9TH ST",
            "address_2": "ROOM 131E",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331422",
            "telephone_number": "414-223-1329",
            "fax_number": "414-223-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN COMMUNITY SERVICES, INC. DRUG EVALUATION LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "PATZER",
        "authorized_official_first_name": "HOLLIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-290-0418"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WI",
            "license": "2133-800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32920400",
            "state": "WI"
        }
    ],
    "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 Jul 30, 2007; 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.