Organization
AURORA MEDICAL CENTER BAY AREA, INC
Active
Other names
Aurora Medical Center Bay Area Clinical Medical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (ASSISTANT TREASURER)
(704) 631-0450
Entity
Organization
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-4200
Mailing address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-4200
(715) 735-1791
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11001400
—
WI
05
—
171152611711544
—
MI
05
—
36200800
—
WI
Enumeration date
11/01/2006
Last updated
10/03/2025
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