Organization
CONSULTANTS LABORATORY OF WISCONSIN, LLC
Active
Other names
Consultants Laboratory of Wisconsin, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH LYNN CHRISTIAN (PATIENT ACCOUNTS SUPERVISOR)
(920) 926-5840
Entity
Organization
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5840
(920) 926-8900
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5840
(920) 926-8900
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32906800
—
WI
05
—
32914700
—
WI
05
—
32926400
—
WI
05
—
32927800
—
WI
05
—
32928400
—
WI
05
—
32935000
—
WI
05
—
32935100
—
WI
05
—
32935200
—
WI
05
—
32935300
—
WI
05
—
32939300
—
WI
01
—
52D0397685
CLIA
WI
Enumeration date
11/29/2005
Last updated
12/16/2022
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