Organization
LAKESHORE MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BANIA (SENIOR DIRECTOR)
(414) 766-9094
Entity
Organization
Contact information
Practice address
14555 W NATIONAL AVE, STE 165, NEW BERLIN, WI 53151-4494
(262) 827-2959
Mailing address
3301 W FOREST HOME AVE, PAYOR ACTIVATION, MILWAUKEE, WI 53215-2843
(414) 647-6326
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
07/20/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us