University Of Wisconsin System Non Payroll
Clinical Medical Laboratory in Madison, WI. Organization (NPI-2).
NPI number1124155403
StatusActive
Last updated in NPPESNov 27, 2024
Details
- NPI
- 1124155403
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of Wisconsin System Non Payroll
- Organization subpart
- No
- Enumeration date
- Feb 27, 2007
- Certification date
- Nov 27, 2024
- Last updated
- Nov 27, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 52D0662277CLIA | WI | Yes |
Other names
- Univ Of Wi System Biochemical Genetics Lab (Other Name)
Practice location
1500 Highland AveWaisman Center Rm 362
Madison, WI 53705-2280
Phone 608-263-5993 · Fax 608-263-0530
Mailing address
1500 Highland AveWaisman Center Rm 362
Madison, WI 53705-2280
Phone 608-263-5993 · Fax 608-263-0530
Authorized official
Jon A Wolff
Director
6082635993
Is something wrong?
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