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Organization

CONSULTANTS LABORATORY OF WISCONSIN, LLC

Active
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Organization

CONSULTANTS LABORATORY OF WISCONSIN, LLC

Active
Other names
SSM Health Laboratories
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH LYNN CHRISTIAN (SUPERVISOR, REV CYCLE PATIENT ACCTS)
(920) 926-5840
Entity
Organization

Contact information

Practice address
130 CORPORATE DR, BEAVER DAM, WI 53916-3116
(920) 926-5840
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5840
(920) 929-0647

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52D0394045
CLIA
WI
Enumeration date
01/25/2021
Last updated
12/16/2022
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