Mke Clia Solutions

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MKE CLIA SOLUTIONS

Practice address

4911 W Good Hope Rd Ste 103
Milwaukee, WI 53223-4840

Phone

(414) 885-3709

Fax

(414) 306-6426

NPI assigned

Jan 13, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Felicia Latoria Alstork, RNNPI 1770238552

Title

Ceo

Phone

(414) 885-3709

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Felicia Latoria Alstork, RN

  • Clinic/Center
  • Milwaukee, WI
  • NPI 1770238552
  NPD Authorized official

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1871244699",
    "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": "414-885-3709",
            "fax_number": "414-306-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 W GOOD HOPE RD STE 103",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532234840",
            "telephone_number": "414-885-3709",
            "fax_number": "414-306-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKE CLIA SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "ALSTORK",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "LATORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-885-3709",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Health Service Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.