Advanced Healthcare, S.C.
Clinical Medical Laboratory in New Berlin, WI. Organization (NPI-2).
NPI number1720163314
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1720163314
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Healthcare, S.C.
- Organization subpart
- No
- Enumeration date
- Oct 25, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
12901 W National AveNew Berlin, WI 53151-4063
Phone 262-782-7770
Mailing address
3003 W Good Hope RdMilwaukee, WI 53209-2042
Phone 414-352-3100 · Fax 414-247-4590
Authorized official
Eugene W. Monroe
President
4143523100
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