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MARTAVIA STANFORD LABORATORY DIRECTOR
NPI 1548985930
Pathology - Clinical Laboratory Director, Non-physician in Brookfield, WI

Active since October 07, 2022
120 BISHOPS WAY STE 165, BROOKFIELD, WI 53005(414) 355-5525(414) 240-4595 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Martavia Stanford Laboratory Director NPPES

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

MARTAVIA STANFORD LABORATORY DIRECTOR (NPI 1548985930) is an individual clinical laboratory director, non-physician in Brookfield, Wisconsin, licensed in Wisconsin (52D2261520) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1548985930
Entity TypeIndividualFemale
Primary Taxonomy247ZC0005X
Provider Legal NameMARTAVIA STANFORDCredential: LABORATORY DIRECTOR
Location Address120 BISHOPS WAY STE 165Brookfield, WI 53005-6249
Mailing Address120 Bishops Way Ste 165Brookfield, WI 53005-6249 · (414) 355-5525 · Fax (414) 240-4595
Phone(414) 355-5525
Fax(414) 240-4595
Sole ProprietorNo
Enumeration DateOctober 7, 2022
NPPES CertifiedOctober 7, 2022
✔ NPI 1548985930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
License✔ Licensed in WI · 52D2261520
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.
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedHome Health AideTaxonomy 374U00000X
Also ListedHomemakerTaxonomy 376J00000X
120 BISHOPS WAY STE 165, Brookfield, WI 53005
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Other Identifiers 1

Other52D2261520WI · Clia State Of Wisconsin

Other Providers at the Same Location NPPES

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

CARE CONNECTION
In Home Supportive Care
120 BISHOPS WAY STE 165
BROOKFIELD, WI 53005
Waukesha County (414) 841-5614

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 Martavia Stanford's NPI number?

The NPI number for Martavia Stanford is 1548985930. It was assigned to this individual provider in the NPPES registry on October 7, 2022.

Where is Martavia Stanford located?

Martavia Stanford practices at 120 Bishops Way Ste 165, Brookfield, WI 53005. The listed phone number is (414) 355-5525.

What is Martavia Stanford'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 Martavia Stanford was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.