Northreach Healthcare, Llc in Green Bay - Clinical Medical Laboratory
Northreach Healthcare, Llc - NPI 1013069624
Northreach Healthcare, Llc is a Clinical Medical Laboratory in Green Bay, Wisconsin. Northreach Healthcare, Llc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Northreach Healthcare, Llc is 1013069624. The last update date is 2017-03-14.
Northreach Healthcare, Llc's current location address is Po Box 22487, Green Bay, Wisconsin. You can contact this provider via phone number 9204457226 and fax number 9204457229. The mailing address for Northreach Healthcare, Llc is Po Box 22487, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northreach Healthcare, Llc |
|---|---|
| Address | Po Box 22487, Green Bay, Wisconsin |
| Phone Number | 9204457226 |
| Fax Number | 9204457229 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Hipke Carol |
| Telephone Number | 7157322078 |
NPI Number Detail
| NPI Number | 1013069624 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2017-03-14 |
Provider Mailing Address Detail
| Address | Po Box 22487 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543052487 |
| Phone Number | 9204457226 |
| Fax Number | 9204457229 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 52D0394395 |
|
Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 52D0394395 | WI | CLINIC CLIA | |
| 4825080007 | WI | MEDICARE DME |
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What is the unique 10-digit identification code issued to Northreach Healthcare, Llc by the Centers for Medicare & Medicaid Services?
The Northreach Healthcare, Llc has been assigned the NPI (National Provider Identifier) 1013069624 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Northreach Healthcare, Llc is physically located?
The Northreach Healthcare, Llc is physically situated at the following address: Po Box 22487, Green Bay, WI, 543052487.
What is the Northreach Healthcare, Llc's specialty and taxonomy code?
The Northreach Healthcare, Llc's specialty is Clinical Medical Laboratory, and the corresponding taxonomy code is 291U00000X.
On what date did the Northreach Healthcare, Llc receive its 1013069624 assignment from the Centers for Medicare & Medicaid Services?
The Northreach Healthcare, Llc was assigned its 1013069624 by the Centers for Medicare & Medicaid Services on 2007-01-17.
When was the information related to Northreach Healthcare, Llc most recently updated or refreshed?
The details pertaining to the Northreach Healthcare, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-03-14.
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