HEALTHSTAT HEALTH CENTER-LANDS' END
NPI 1356910335
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Dodgeville, WI

Active since June 23, 2021CLIA 24D2024997 · Waiver
9 LANDS' END LANE, DODGEVILLE, WI 53595(704) 936-5466 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Healthstat Health Center-lands' End NPPES

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

HEALTHSTAT HEALTH CENTER-LANDS' END (NPI 1356910335) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Dodgeville, Wisconsin and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through September 6, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1356910335
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameHEALTHSTAT HEALTH CENTER-LANDS' END
Location Address9 LANDS' END LANEDodgeville, WI 53595-0001
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916 · (704) 936-5546
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateJune 23, 2021
NPPES CertifiedJune 23, 2021
✔ NPI 1356910335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
9 LANDS' END LANE, Dodgeville, WI 53595

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 24D2024997

Healthstat Health Center - Robbinsdale · New Hope, MN
Active · expires Sep 6, 2027
CLIA Number24D2024997
Laboratory TypeChronic Disease Managemen
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorMary Ann S. Thesing
Laboratory Phone(704) 936-5546
Laboratory LocationHealthstat Health Center - Robbinsdale8301 47th Avenue North, New Hope, MN 55428
CLIA data matches this NPI record on: 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 Healthstat Health Center-Lands' End's NPI number?

The NPI number for Healthstat Health Center-Lands' End is 1356910335. It was assigned to this organization in the NPPES registry on June 23, 2021.

Where is Healthstat Health Center-Lands' End located?

Healthstat Health Center-Lands' End is located at 9 Lands' End Lane, Dodgeville, WI 53595. The listed phone number is (704) 936-5466.

What is Healthstat Health Center-Lands' End's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Does Healthstat Health Center-Lands' End hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2024997) is associated with this NPI, valid through September 6, 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 Healthstat Health Center-Lands' End was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.