Safeway Drivers Fitness Centers

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SAFEWAY DRIVERS FITNESS CENTERS

Practice address

333 Bishops Way
Suite 109
Brookfield, WI 53005-6226

Phone

(262) 347-3724

NPI assigned

Apr 20, 2014

Organization subpart

No

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

Authorized official

Name

Jeff Borchardt

Title

Ceo

Phone

(414) 305-4043

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397952000000",
    "number": "1871913624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BISHOPS WAY",
            "address_2": "SUITE 109",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BISHOPS WAY",
            "address_2": "SUITE 109",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056226",
            "telephone_number": "262-347-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY DRIVERS FITNESS CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-20",
        "last_updated": "2014-04-20",
        "status": "A",
        "authorized_official_last_name": "BORCHARDT",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-305-4043"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saak Wound Care Clinics LLC
• Saak, SC
• Jeffrey T Sabatino, D.O.
• Ryan Sacotte
• Alissa Marie Sadler, MOTR/L
• Katherine Elizabeth Scott Sage, PHD
• Jyoti Saluja, M.D.
• Annabella Salvo
• Katherine Samb, OTA
• Paulina Elizamarie San Fillippo

• Clinical Medical Laboratory in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Clinical Medical Laboratory in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2014; 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.