Organization
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Active
Other names
Univ of WI System Biochemical Genetics Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JON A WOLFF MD (DIRECTOR)
(608) 263-5993
Entity
Organization
Contact information
Practice address
1500 HIGHLAND AVE, WAISMAN CENTER RM 362, MADISON, WI 53705-2280
(608) 263-5993
(608) 263-0530
Mailing address
1500 HIGHLAND AVE, WAISMAN CENTER RM 362, MADISON, WI 53705-2280
(608) 263-5993
(608) 263-0530
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
52D0662277CLIA
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000089834
MEDICARE
WI
05
—
32907000
—
WI
Enumeration date
02/27/2007
Last updated
11/27/2024
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