Organization
NOAH ASSOCIATES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN HANSON (VICE PRESIDENT)
(414) 600-1020
Entity
Organization
Contact information
Practice address
10501 W GREENFIELD AVE, WEST ALLIS, WI 53214-2421
(414) 600-1020
Mailing address
10501 W GREENFIELD AVE, WEST ALLIS, WI 53214-2421
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
52D2127517
WI
Other
Enumeration date
04/28/2017
Last updated
09/11/2020
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