Organization
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Active
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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