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LIBERTY STAR MEDICAL LTD
NPI 1184973877
Clinic/Center in Janesville, WI

Active since September 10, 2012
1905 CENTER AVE, SUITE 5, JANESVILLE, WI 53546(608) 563-4213(866) 998-1030 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Liberty Star Medical Ltd NPPES

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

LIBERTY STAR MEDICAL LTD (NPI 1184973877) is a healthcare organization registered as a clinic/center in Janesville, Wisconsin and active in the NPI registry since September 2012. The organization lists David Brian Gattuso, Physician, as its authorized official.

NPPES Registry Identity

NPI1184973877
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLIBERTY STAR MEDICAL LTD
Location Address1905 CENTER AVE, SUITE 5Janesville, WI 53546-2842
Mailing Address1905 Center Ave, Suite 5Janesville, WI 53546-2842 · (608) 295-3670 · Fax (866) 998-1030
Phone(608) 563-4213
Fax(866) 998-1030
Organization SubpartNo
Authorized OfficialDavid Brian GattusoPhysician · (608) 563-4213
Enumeration DateSeptember 10, 2012
Last NPPES UpdateSeptember 20, 2012
✔ NPI 1184973877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WI · 27454-20
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1905 CENTER AVE, Janesville, WI 53546
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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.

LAUREL A MAZAR MSW
Social Worker
1905 CENTER AVE
JANESVILLE, WI 53546
Rock County (608) 352-9701
CAROLYN ELAINE PAGEL
Counselor
1905 CENTER AVE
JANESVILLE, WI 53546
Rock County (608) 352-9701
SHELBRIA LEIGH-ANNE WACHTVEITL MSW, APSW, LCSW
Social Worker (Clinical)
1905 CENTER AVE, STE 170
JANESVILLE, WI 53546
Rock County (608) 352-9701

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 Liberty Star Medical Ltd's NPI number?

The NPI number for Liberty Star Medical Ltd is 1184973877. It was assigned to this organization in the NPPES registry on September 10, 2012.

Where is Liberty Star Medical Ltd located?

Liberty Star Medical Ltd is located at 1905 Center Ave Suite 5, Janesville, WI 53546. The listed phone number is (608) 563-4213.

What is Liberty Star Medical Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Liberty Star Medical Ltd was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.