Speedy Labs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SPEEDY LABS

Practice address

11518 N Port Washington Rd Ste 1
Mequon, WI 53092-3443

Phone

(262) 834-9010

NPI assigned

Sep 9, 2021

Last updated

Nov 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kizzie Bland

Title

Director

Phone

(414) 418-4410

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1982373361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11518 N PORT WASHINGTON RD STE 1",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11518 N PORT WASHINGTON RD STE 1",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923443",
            "telephone_number": "262-834-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEEDY LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "KIZZIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-418-4410"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern Ozaukee Fire and Emergency Medical Services Department
• Sadie McKay Spahn I, BCBA
• Taylor Dawn Spielvogel
• Margaret M Spoerl, MD
• Patrick St Louis, ATC, LAT
• Steven J Staehling, M.D.
• John Leonard Staranko, DC

• Clinical Medical Laboratory in Mequon, WI
• Providers in Mequon, 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 Nov 30, 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.