Organization
ASCENSION WISCONSIN LABORATORIES, INC
Active
Organization
ASCENSION WISCONSIN LABORATORIES, INC
Active
Other names
Wheaton Franciscan Laboratories, Inc, Ascension Wisconsin Lab
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DWYER (CFO)
(414) 465-3093
Entity
Organization
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1424
Mailing address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1424
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131232001
UHC MEDICAID PROVIDER NUM
WI
01
—
303142
MANAGED HEALTH PROV NUMBE
WI
05
—
32913200
—
WI
01
—
8591085
AETNA PROV NUMBER
WI
Enumeration date
07/07/2006
Last updated
07/17/2026
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