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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: August 16, 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
Phone(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
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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.

SADECA GULLENS
Technician, Pathology (Phlebotomy)
2317 INTERNATIONAL LN STE 114
MADISON, WI 53704
Dane County (608) 471-4127

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 Srg Health Labs LLC's NPI number?

The NPI number for Srg Health Labs LLC is 1437882164. It was assigned to this organization in the NPPES registry on July 9, 2022.

Where is Srg Health Labs LLC located?

Srg Health Labs LLC is located at 2317 International Ln Ste 114, Madison, WI 53704. The listed phone number is (608) 471-4127.

What is Srg Health Labs LLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Srg Health Labs LLC was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.