1. Home
  2. Directory
  3. Wisconsin
  4. Brookfield
  5. Clinical Medical Laboratory
  6. NPI Profile

DERMPATH DIAGNOSTICS OF WI
NPI 1164494142
Clinical Medical Laboratory in Brookfield, WI

Active since February 03, 2006CLIA 52D0661946 · Accreditation
12805 W BURLEIGH RD, SUITE 200, BROOKFIELD, WI 53005(262) 797-6434(262) 797-6429 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2024, Apr 10, 2022 (2 updates tracked since 2022).

About Dermpath Diagnostics Of Wi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMPATH DIAGNOSTICS OF WI (NPI 1164494142) is a healthcare organization registered as a clinical medical laboratory in Brookfield, Wisconsin and active in the NPI registry since February 2006. The organization holds an CLIA Accreditation certificate valid through February 12, 2027 and lists Darren Thomas Wheeler, Vice President, as its authorized official.

NPPES Registry Identity

NPI1164494142
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameDERMATOPATHOLOGY OF WISCONSIN SC
Location Address12805 W BURLEIGH RD, SUITE 200Brookfield, WI 53005-3111
Mailing Address14275 Midway Rd Ste 400Addison, TX 75001-3661 · (214) 932-8018 · Fax (610) 271-4245
Phone(262) 797-6434
Fax(262) 797-6429
Organization SubpartYesParent: Ameripath Inc.
Authorized OfficialDarren Thomas WheelerVice President · (702) 733-7866
Enumeration DateFebruary 3, 2006
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1164494142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in WI · 52D0661946
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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
12805 W BURLEIGH RD, Brookfield, WI 53005
Open in Google Maps ↗

Other Names 1

Other NameDermpath Diagnostics Of Wi

Other Identifiers 7

Medicaid1164494142MI
Medicaid5585170SD
Medicaid32911800WI
Medicaid0765271IA
Medicaid14900ND
Medicaid749475100MN
Other52D1105706WI · Clia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Medica, Network Health and more.Insurance ›

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 Accreditation 52D0661946

Dermatopathology Of Wisconsin Sc · Brookfield, WI
Active · expires Feb 12, 2027
CLIA Number52D0661946
Laboratory TypeIndependent
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorDr. Scott W. Kelley
Laboratory Phone(262) 797-6434
Laboratory LocationDermatopathology Of Wisconsin Sc12805 W Burleigh Rd Suite 200, Brookfield, WI 53005
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
19,640 services11,478 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
1,220 services664 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
971 services881 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
799 services700 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
641 services466 patients
Surgical pathology consultation and report on referred slides prepared elsewhere 88321
A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.
89 services86 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMERIPATH MILWAUKEE SC
Clinical Medical Laboratory
12805 W BURLEIGH RD, SUITE 200
BROOKFIELD, WI 53005
Waukesha County (414) 732-2577
DR. JAMES L. TROY MD
Pathology (Dermatopathology)
12805 W BURLEIGH RD, SUITE 200
BROOKFIELD, WI 53005
Waukesha County (262) 797-6434
DR. SCOTT W. KELLEY MD
Pathology (Dermatopathology)
12805 W BURLEIGH RD, SUITE 200
BROOKFIELD, WI 53005
Waukesha County (262) 797-6434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatopathology Of Wisconsin Sc's NPI number?

The NPI number for Dermatopathology Of Wisconsin Sc is 1164494142. It was assigned to this organization in the NPPES registry on February 3, 2006. The provider is also known as Dermpath Diagnostics Of Wi.

Where is Dermatopathology Of Wisconsin Sc located?

Dermatopathology Of Wisconsin Sc is located at 12805 W Burleigh Rd Suite 200, Brookfield, WI 53005. The listed phone number is (262) 797-6434.

What is Dermatopathology Of Wisconsin Sc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Dermatopathology Of Wisconsin Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D0661946) is associated with this NPI, valid through February 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatopathology Of Wisconsin Sc accept?

Health plans from CareSource (Common Ground Healthcare), Medica, Network Health, Priority Health and Quartz and 2 other insurers list Dermatopathology Of Wisconsin Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatopathology Of Wisconsin Sc was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.