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INDEPENDENT PHYSICIANS OF WISCONSIN LLC
NPI 1326555442
Durable Medical Equipment & Medical Supplies in West Bend, WI

Active since January 10, 2018CLIA Certified · 2 labs
140 E. WATER ST. STE 1, WEST BEND, WI 53095(262) 355-8010(262) 355-8011 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2019, Jan 10, 2018 (2 updates tracked since 2018).

About Independent Physicians Of Wisconsin Llc NPPES

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

INDEPENDENT PHYSICIANS OF WISCONSIN LLC (NPI 1326555442) is a healthcare organization registered as a durable medical equipment & medical supplies in West Bend, Wisconsin and active in the NPI registry since January 2018. The organization holds 2 active CLIA laboratory certificates and lists Carey Cameron, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1326555442
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameINDEPENDENT PHYSICIANS OF WISCONSIN LLC
Location Address140 E. WATER ST. STE 1West Bend, WI 53095-3415
Mailing Address5434 W. Capitol Dr Suite 3Milwaukee, WI 53216-2298 · (414) 875-0505 · Fax (414) 875-6786
Phone(262) 355-8010
Fax(262) 355-8011
Organization SubpartYesParent: Independent Physicians Of Wisconsin, Llc
Authorized OfficialCarey CameronManaging Member · (262) 355-8010
Enumeration DateJanuary 10, 2018
Last NPPES UpdateDecember 9, 20192 updates tracked since enumeration
✔ NPI 1326555442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
140 E. WATER ST. STE 1, West Bend, WI 53095
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 52D2138043

Independent Physicians Of Wisconsin, LLC · West Bend, WI
Active · expires Oct 8, 2027
CLIA Number52D2138043
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorDr. Brian R. Wolter
Laboratory Phone(262) 355-8010
Laboratory LocationIndependent Physicians Of Wisconsin, LLC140 E Water St Suite 1, West Bend, WI 53095
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 52D1016714

Independent Physicians Of Wisconsin, LLC · Milwaukee, WI
Active · expires Sep 4, 2027
CLIA Number52D1016714
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorDr. Mohammad Q. Khan
Laboratory Phone(414) 875-0505
Laboratory LocationIndependent Physicians Of Wisconsin, LLC5434 W Capitol Dr Ste 3, Milwaukee, WI 53216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Independent Physicians Of Wisconsin LLC's NPI number?

The NPI number for Independent Physicians Of Wisconsin LLC is 1326555442. It was assigned to this organization in the NPPES registry on January 10, 2018.

Where is Independent Physicians Of Wisconsin LLC located?

Independent Physicians Of Wisconsin LLC is located at 140 E. Water St. Ste 1, West Bend, WI 53095. The listed phone number is (262) 355-8010.

What is Independent Physicians Of Wisconsin LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Independent Physicians Of Wisconsin LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Independent Physicians Of Wisconsin LLC was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.