SRG HEALTH LABS LLC
NPI 1437882164
Pathology - Clinical Laboratory Director, Non-physician in Madison, WI

Active since July 09, 2022
2317 INTERNATIONAL LN STE 114, MADISON, WI 53704(608) 471-4127(855) 316-1039 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Srg Health Labs Llc NPPES

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

SRG HEALTH LABS LLC (NPI 1437882164) is a healthcare organization registered as a clinical laboratory director, non-physician in Madison, Wisconsin and active in the NPI registry since July 2022. The organization lists Sadeca Gullens, Clinical Lab Director, as its authorized official.

NPPES Registry Identity

NPI1437882164
Entity TypeOrganization
Primary Taxonomy247ZC0005X
Legal Business NameSRG HEALTH LABS LLC
Location Address2317 INTERNATIONAL LN STE 114Madison, WI 53704-3154
Mailing Address2317 International Ln Ste 114Madison, WI 53704-3154 · (608) 471-4127
Fax(855) 316-1039
Organization SubpartNo
Authorized OfficialSadeca GullensClinical Lab Director · (608) 471-4127
Enumeration DateJuly 9, 2022
Last NPPES UpdateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
NPI 1437882164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

2317 INTERNATIONAL LN STE 114, Madison, WI 53704

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

Other Providers at the Same Location NPPES

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

Technician, Pathology (Phlebotomy)
2317 INTERNATIONAL LN STE 114
MADISON, WI 53704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437882164, enumerated as an "organization" on July 09, 2022.

The provider is located at 2317 INTERNATIONAL LN STE 114 MADISON, WI 53704 and the phone number is (608) 471-4127.

Pathology with taxonomy code 247ZC0005X and a focus in Clinical Laboratory Director, Non-physician.