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Organization

CONSULTANTS LABORATORY OF WISCONSIN, LLC

Active
Parent organization
CONSULTANTS LABORATORY OF WISCONSIN, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CONSULTANTS LABORATORY OF WISCONSIN, LLC
Authorized official
MS. DEBORAH CHRISTIAN (PATIENT ACCOUNTS SUPERVISOR)
(920) 926-5840
Entity
Organization

Contact information

Practice address
14 BEAVER DAM ST, WAUPUN, WI 53963-1866
(920) 324-4850
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32925800
WI
01
52D0947937
CLIAA
WI
Enumeration date
02/13/2007
Last updated
12/16/2022
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