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LAKESHORE MEDICAL CLINIC LLC
NPI 1497983837
Durable Medical Equipment & Medical Supplies in Franklin, WI

Active since June 24, 2009CLIA 52D1101745 · Microscopy
4202 W OAKWOOD PARK CT, FRANKLIN, WI 53132(414) 423-5250 Get Directions Write a Review

NPPES record last updated: July 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeshore Medical Clinic Llc NPPES

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

LAKESHORE MEDICAL CLINIC LLC (NPI 1497983837) is a healthcare organization registered as a durable medical equipment & medical supplies in Franklin, Wisconsin and active in the NPI registry since June 2009. The organization holds a CLIA Microscopy certificate valid through May 24, 2027 and lists Michael Bania, Senior Director, as its authorized official.

NPPES Registry Identity

NPI1497983837
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLAKESHORE MEDICAL CLINIC LLC
Location Address4202 W OAKWOOD PARK CTFranklin, WI 53132-8131
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 647-6326
Phone(414) 423-5250
Organization SubpartNo
Authorized OfficialMichael BaniaSenior Director · (414) 766-9094
Enumeration DateJune 24, 2009
Last NPPES UpdateJuly 20, 2017
✔ NPI 1497983837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
4202 W OAKWOOD PARK CT, Franklin, WI 53132
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Other Identifiers 1

Medicare NSC0458040023WI

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 for Provider-Performed Microscopy Procedures (PPMP) 52D1101745

Lakeshore Medical Clinic - Franklin · Franklin, WI
Active · expires May 24, 2027
CLIA Number52D1101745
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorDr. Michael D. D'amico
Laboratory Phone(414) 423-5250
Laboratory LocationLakeshore Medical Clinic - Franklin4202 W Oakwood Park Ct, Suite 200, Franklin, WI 53132
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 18

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

PAIN CENTERS OF WISCONSIN-FRANKLIN, LLC
Clinic/Center (Ambulatory Surgical)
4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
Milwaukee County (414) 421-6002
MILWAUKEE SURGICENTER LLC
Clinic/Center (Ambulatory Surgical)
4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
Milwaukee County (262) 297-7246
JACK STEINER
Dermatology
4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
Milwaukee County (414) 423-5250
ROBERT A. PALM M.D.
Urology
4202 W OAKWOOD PARK CT, # 200
FRANKLIN, WI 53132
Milwaukee County (414) 423-5250
DAWN M SMITH PA-C
Physician Assistant
4202 W OAKWOOD PARK CT, SUITE 120
FRANKLIN, WI 53132
Milwaukee County (414) 855-2800
KATHERINE THERESA PELLINO MD
Obstetrics & Gynecology
4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
Milwaukee County (414) 423-5250
BRITTANY N HOWSE
Obstetrics & Gynecology
4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
Milwaukee County (414) 423-5250
LISA M SCHABLA PA SPECIALIST
Nurse Practitioner
4202 W OAKWOOD PARK CT, SUITE 120
FRANKLIN, WI 53132
Milwaukee County (414) 855-2800

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 Lakeshore Medical Clinic LLC's NPI number?

The NPI number for Lakeshore Medical Clinic LLC is 1497983837. It was assigned to this organization in the NPPES registry on June 24, 2009.

Where is Lakeshore Medical Clinic LLC located?

Lakeshore Medical Clinic LLC is located at 4202 W Oakwood Park Ct, Franklin, WI 53132. The listed phone number is (414) 423-5250.

What is Lakeshore Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Lakeshore Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 52D1101745) is associated with this NPI, valid through May 24, 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 Lakeshore Medical Clinic LLC was last updated on July 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.