Organization
CONSULTANTS LABORATORY OF WISCONSIN, LLC
Active
Parent organization
CONSULTANTS LABORATORY OF WISCONSIN, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONSULTANTS LABORATORY OF WISCONSIN, LLC
Authorized official
MS. DEBORAH CHRISTIAN (PATIENT ACCOUNTS SUPERVISOR)
(920) 926-5840
Entity
Organization
Contact information
Practice address
1175 N MARGARET ST, MARKESAN, WI 53946
(920) 398-2406
Mailing address
1175 N MARGARET ST, MARKESAN, WI 53946
(920) 398-2406
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32927100
—
WI
01
—
52D0977287
CLIA
WI
Enumeration date
02/13/2007
Last updated
12/16/2022
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