Great Lakes Pathologists Sc in West Allis - Anatomic Pathology & Clinical Pathology

Great Lakes Pathologists Sc - NPI 1689695934

Great Lakes Pathologists Sc is a Anatomic Pathology & Clinical Pathology in West Allis, Wisconsin. Great Lakes Pathologists Sc practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Great Lakes Pathologists Sc is 1689695934. The last update date is 2010-07-12.

Great Lakes Pathologists Sc's current location address is 8901 W Lincoln Ave, West Allis, Wisconsin. You can contact this provider via phone number 4143287950 and fax number 4143287998. The mailing address for Great Lakes Pathologists Sc is 8901 W Lincoln Ave, West Allis, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Great Lakes Pathologists Sc
Address 8901 W Lincoln Ave, West Allis, Wisconsin
Phone Number 4143287950
Fax Number 4143287998
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Clark R Jimmy
Credentials M.D.
Telephone Number 4143287950

NPI Number Detail

NPI Number 1689695934
Provider Enumeration Date 2006-07-22
Last Updated Date 2010-07-12

Provider Mailing Address Detail

Address 8901 W Lincoln Ave
City West Allis
State Wisconsin (WI)
Post Code 532272409
Phone Number 4143287950
Fax Number 4143287998

Provider's Primary Taxonomy Detail

Speciality Anatomic Pathology & Clinical Pathology
Taxonomy 207Zp0102X
Definition:
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32824300 WI --
CI2426 WI RAIL ROAD MEDICARE

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FAQs about Great Lakes Pathologists Sc

What is the unique provider identifier assigned to Great Lakes Pathologists Sc?

The Great Lakes Pathologists Sc has been issued the NPI (National Provider Identifier) 1689695934 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Great Lakes Pathologists Sc is located?

The Great Lakes Pathologists Sc is situated at the following address: 8901 W Lincoln Ave, West Allis, WI, 532272409.

What is the Great Lakes Pathologists Sc's area of specialization and corresponding taxonomy classification?

The Great Lakes Pathologists Sc's specialty field is Anatomic Pathology & Clinical Pathology, and it falls under the taxonomy code 207Zp0102X, which categorizes healthcare providers based on their specialties.

When was the Great Lakes Pathologists Sc's 1689695934 issued?

The Great Lakes Pathologists Sc's 1689695934 was issued on 2006-07-22.

When was the information pertaining to Great Lakes Pathologists Sc most recently updated or revised?

The details related to Great Lakes Pathologists Sc, including its address, specialty, and other relevant information, were last updated or revised on 2010-07-12.

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