LAKESHORE MEDICAL CLINIC, LLC
NPI 1114087053
Durable Medical Equipment & Medical Supplies in South Milwaukee, WI
About Lakeshore Medical Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESHORE MEDICAL CLINIC, LLC (NPI 1114087053) is a healthcare organization registered as a durable medical equipment & medical supplies in South Milwaukee, Wisconsin and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Kara Richardson, Asst Treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 52D0980686
Lakeshore Medical Clinic - South Milwaukee · South Milwaukee, WIOther Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114087053, enumerated as an "organization" on December 11, 2006.
The provider is located at 3611 S CHICAGO AVE SOUTH MILWAUKEE, WI 53172 and the phone number is (414) 762-7270.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
