Organization Active NPI

Newport Pathology

  • Clinical Medical Laboratory
  • Brookfield, WI
National Provider Identifier
1881816544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEWPORT PATHOLOGY
Practice address
15800 W Bluemound Rd
Suite 120
Brookfield, WI 53005-6043
Phone
(262) 271-1053
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Denis Savenko
Title
President
Phone
(262) 271-1053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

15800 W Bluemound Rd
Suite 120
Brookfield, WI 53005-6043

Mailing address

1901 Westcliff Dr
Suite 5
Newport Beach, CA 92660-5598
Phone (262) 271-1053

National Provider Directory

National Provider Directory
Tax ID family
Newport Pathology3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1901 Westcliff Dr
Ste 5
Newport Beach, CA 92660
Phone (949) 645-3127

15800 W Bluemound Rd
Ste 120
Brookfield, WI 53005
Phone (262) 271-1053

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881816544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WESTCLIFF DR",
            "address_2": "SUITE 5",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605598",
            "telephone_number": "262-271-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 W BLUEMOUND RD",
            "address_2": "SUITE 120",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056043",
            "telephone_number": "262-271-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAVENKO",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-271-1053"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.