Organization
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Active
Other names
Board of Regents University of Wis System WI State Laboratory of Hygie
Organization subpart
No
Provider details
NPI number
Authorized official
ERRIN RIDER PH.D. (ASSOCIATE DIRECTOR OF CLINICAL TEST)
(608) 890-0288
Entity
Organization
Contact information
Practice address
465 HENRY MALL, MADISON, WI 53706-1378
(608) 262-3911
(608) 262-3257
Mailing address
465 HENRY MALL, MADISON, WI 53706-1378
(608) 262-3911
(608) 262-3257
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
52D0661989
WI
291U00000X
Clinical Medical Laboratory
Primary
52D0669558
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32908700
—
WI
Enumeration date
12/15/2005
Last updated
12/04/2024
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