Organization
KENOSHA COUNTY DIV OF PUBLIC HEALTH
Active
Other names
Public Health Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JANSEN (DIRECTOR)
(262) 605-6700
Entity
Organization
Contact information
Practice address
8600 SHERIDAN RD, SUITE 600, KENOSHA, WI 53143-6506
(262) 605-6700
(262) 605-6715
Mailing address
8600 SHERIDAN RD, SUITE 600, KENOSHA, WI 53143-6506
(262) 605-6700
(262) 605-6715
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32924500
—
WI
Enumeration date
08/05/2007
Last updated
08/27/2021
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