Organization Active NPI

Prime Express Laboratory LLC

  • Health Service Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1952057747
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PRIME EXPRESS LABORATORY LLC
Practice address
7607 W Townsend St Ste 105
Milwaukee, WI 53222-3965
Phone
(877) 407-6537
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Vinnetta Ashirah Paul, RNNPI 1740957323
Title
Owner
Phone
(877) 407-6537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

7607 W Townsend St Ste 105
Milwaukee, WI 53222-3965

Mailing address

7607 W Townsend St Ste 105
Milwaukee, WI 53222-3965
Phone (877) 407-6537

National Provider Directory

National Provider Directory

Locations

7607 W Townsend St
Ste 105
Milwaukee, WI 53222
Phone (414) 704-9031

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1952057747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 W TOWNSEND ST STE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223965",
            "telephone_number": "877-407-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 W TOWNSEND ST STE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223965",
            "telephone_number": "877-407-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME EXPRESS LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "VINNETTA",
        "authorized_official_middle_name": "ASHIRAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-407-6537",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 28, 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.