WAUKESHA MEDICAL SERVICES, LLC
NPI 1396287355
Clinic/Center - Ambulatory Surgical in Oconomowoc, WI
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 52D2183045
- CLIA Cert. Type: Other - CHARITABLE FREE MEDICAL
- CLIA Exp. Date: 04-28-2026
About WAUKESHA MEDICAL SERVICES, LLC
This page provides the complete NPI Profile along with additional information for Waukesha Medical Services, Llc, a provider established in Oconomowoc, Wisconsin operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1396287355 assigned on November 2016. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Bruce William Cardone (Medical Director)
- NPI
- 1396287355 Verify this NPI
- Provider Name
- WAUKESHA MEDICAL SERVICES, LLC
- Entity Type
- Organization
- Location Address
- 1239 CORPORATE CENTER DR OCONOMOWOC, WI 53066
- Location Phone
- (262) 569-8346
- Mailing Address
- N4W22370 BLUEMOUND RD SUITE 201 WAUKESHA, WI 53186
- Mailing Phone
- (262) 349-9371
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-08-2016
- Last Update Date
- 11-08-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2183045
- Facility Type
- Other - CHARITABLE FREE MEDICAL
- Certificate Effective Date
- April 29, 2024
- Certificate Expiration Date
- April 28, 2026
- Laboratory Director
- DR. KENNETH G. SCHELLHASE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Waukesha Medical Services, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for WAUKESHA MEDICAL SERVICES, LLC
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
OCONOMOWOC, WI 53066
OCONOMOWOC, WI 53066
OCONOMOWOC, WI 53066
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396287355, enumerated as an "organization" on November 08, 2016.
The provider is located at 1239 CORPORATE CENTER DR OCONOMOWOC, WI 53066 and the phone number is (262) 569-8346.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
