Clinical Life Labs LLC

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

CLINICAL LIFE LABS LLC

Practice address

5110 Main St Unit B
Stevens Point, WI 54481-9145

Phone

(646) 820-7251

NPI assigned

Jan 21, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Raj Patel

Title

Member

Phone

(646) 820-7251

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1881346724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 MAIN ST UNIT B",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544819145",
            "telephone_number": "646-820-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 MAIN ST UNIT B",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544819145",
            "telephone_number": "646-820-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL LIFE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "646-820-7251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler C Christopherson, DDS
• Cherie Cisewski
• Clara a. Cleve (Family Counseling Clinic of Stevens Point)
• Clara A. Cleve, MSSW
• Jay C Cleve, PHD
• Lynn Maria Collins, NP
• Community Care of Central Wisconsin
• Community Care of Portage County
• Compass Chiropractic and Wellness, S.C. (Compass Chiropractic)
• Compassion Counseling

• Clinical Pathology/Laboratory Medicine Physician in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Clinical Pathology/Laboratory Medicine Physician in Wisconsin

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