AETERNA LIFE LLC
NPI 1275336919
Clinic/Center - Health Service in Milwaukee, WI
About Aeterna Life Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AETERNA LIFE LLC (NPI 1275336919) is a healthcare organization registered as a health service in Milwaukee, Wisconsin and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists Maya Westmoreland, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 52D2321783
Aeterna Life · Milwaukee, WIOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Aeterna Life LLC's NPI number?
The NPI number for Aeterna Life LLC is 1275336919. It was assigned to this organization in the NPPES registry on March 28, 2025.
Where is Aeterna Life LLC located?
Aeterna Life LLC is located at 7505 W Thurston Ave, Milwaukee, WI 53218. The listed phone number is (414) 301-3661.
What is Aeterna Life LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Does Aeterna Life LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2321783) is associated with this NPI, valid through April 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Aeterna Life LLC was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Aeterna Life Llc · NPI 1275336919
Health Service organization in Milwaukee, Wisconsin. Organization record, active in the CMS NPPES registry since March 28, 2025.
## Identity
- **NPI:** 1275336919 (Entity type: Organization)
- **Enumerated:** March 28, 2025
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Maya Westmoreland, OWNER
## Practice location
- **Address:** 7505 W THURSTON AVE, Milwaukee, WI 53218-2264
- **Phone:** (414) 301-3661
## Record status
- **NPPES last updated:** March 28, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275336919) · Data from the CMS NPPES public registry.