TOMAH HEALTH
NPI 1356824551
Clinical Medical Laboratory in Tomah, WI

Active since September 13, 2018CLIA Certified · 2 labs
501 GOPHER DR, TOMAH, WI 54660(608) 377-8650(608) 377-8737 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 22, 2024, Sep 4, 2020, Sep 13, 2018 (3 updates tracked since 2018).

About Tomah Health NPPES

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

TOMAH HEALTH (NPI 1356824551) is a healthcare organization registered as a clinical medical laboratory in Tomah, Wisconsin and active in the NPI registry since September 2018. The organization holds 2 active CLIA laboratory certificates and lists Hillary Johnson, Pfs Director, as its authorized official.

NPPES Registry Identity

NPI1356824551
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameTOMAH MEMORIAL HOSPITAL INC
Location Address501 GOPHER DRTomah, WI 54660-4513
Mailing Address501 Gopher DrTomah, WI 54660-4513 · (608) 372-2181 · Fax (608) 377-8737
Fax(608) 377-8737
Organization SubpartYesParent: Tomah Memorial Hospital, Inc.
Authorized OfficialHillary JohnsonPfs Director · (608) 377-8650
Enumeration DateSeptember 13, 2018
Last NPPES UpdateApril 22, 20243 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1356824551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.

501 GOPHER DR, Tomah, WI 54660

Other Names 1

Doing Business AsTomah Health

Other Identifiers 1

Medicaid11017810WI

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 of Accreditation 52D0396474

Tomah Health · Tomah, WI
Active · expires Jan 2, 2027
CLIA Number52D0396474
Laboratory TypeHealth Main. Organization
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Rasleen Saluja
Laboratory Phone(608) 372-2181
Laboratory LocationTomah Health501 Gopher Drive, Tomah, WI 54660
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.

Certificate of Waiver 52D2024620

Tomah Health-Serenity House Lab · Tomah, WI
Active · expires May 18, 2027
CLIA Number52D2024620
Laboratory TypeHospice
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorDr. Robert Hulburt
Laboratory Phone(608) 374-0250
Laboratory LocationTomah Health-Serenity House Lab601 Straw Street, Tomah, WI 54660
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
501 GOPHER DR
TOMAH, WI 54660
Surgery (Vascular Surgery)
501 GOPHER DR
TOMAH, WI 54660
Nurse Anesthetist, Certified Registered
501 GOPHER DR
TOMAH, WI 54660
Nurse Practitioner (Family)
501 GOPHER DR
TOMAH, WI 54660
Nurse Practitioner (Family)
501 GOPHER DR
TOMAH, WI 54660
Nurse Anesthetist, Certified Registered
501 GOPHER DR
TOMAH, WI 54660
Nurse Practitioner (Adult Health)
501 GOPHER DR
TOMAH, WI 54660
Physician Assistant
501 GOPHER DR
TOMAH, WI 54660

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 Tomah Memorial Hospital Inc's NPI number?

The NPI number for Tomah Memorial Hospital Inc is 1356824551. It was assigned to this organization in the NPPES registry on September 13, 2018.

Where is Tomah Memorial Hospital Inc located?

Tomah Memorial Hospital Inc is located at 501 Gopher Dr, Tomah, WI 54660. The listed phone number is (608) 377-8650.

What is Tomah Memorial Hospital Inc's specialty?

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

Does Tomah Memorial Hospital Inc 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 Tomah Memorial Hospital Inc was last updated on April 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.