GREAT LAKES PATHOLOGISTS SC
NPI 1689695934
Pathology - Anatomic Pathology & Clinical Pathology in West Allis, WI

NPI Status: Active since July 22, 2006

Contact Information

8901 W LINCOLN AVE
WEST ALLIS, WI
ZIP 53227
Phone: (414) 328-7950
Fax: (414) 328-7998

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Accepts Insurance

About GREAT LAKES PATHOLOGISTS SC

This page provides the complete NPI Profile along with additional information for Great Lakes Pathologists Sc, a provider established in West Allis, Wisconsin operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1689695934 assigned on July 2006. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jimmy R Clark M.d. (President)

NPI
1689695934
Provider Name
GREAT LAKES PATHOLOGISTS SC
Entity Type
Organization
Location Address
8901 W LINCOLN AVE WEST ALLIS, WI 53227
Location Phone
(414) 328-7950
Location Fax
(414) 328-7998
Mailing Address
8901 W LINCOLN AVE WEST ALLIS, WI 53227
Mailing Phone
(414) 328-7950
Mailing Fax
(414) 328-7998
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2006
Last Update Date
07-12-2010
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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

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam - EPO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JIMMY R CLARK M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(414) 328-7950

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000060240MEDICARE PIN (08)WI 
CI2426OTHER (01)WIRAIL ROAD MEDICARE
=========029OTHER (01)WIBCBS
32824300MEDICAID (05)WI 
000002045MEDICARE PIN (08)WI 
000007045MEDICARE PIN (08)WI 
000065190MEDICARE PIN (08)WI 
000052510MEDICARE PIN (08)WI 

Reviews for GREAT LAKES PATHOLOGISTS SC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689695934, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 1 + 2 + 9 + 1 + 0 + 9 + 6 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1689695934.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Anesthesiology
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Anesthesiology
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Radiology (Vascular & Interventional Radiology)
8901 W LINCOLN AVE, DEPT OF RADIOLOGY
WEST ALLIS, WI 53227
Radiology (Diagnostic Radiology)
8901 W LINCOLN AVE, RADIOLOGY
WEST ALLIS, WI 53227
Pathology (Anatomic Pathology & Clinical Pathology)
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Pathology (Anatomic Pathology & Clinical Pathology)
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Internal Medicine
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Dietitian, Registered
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Physical Medicine & Rehabilitation
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Counselor (Professional)
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Genetic Counselor, MS
8901 W LINCOLN AVE, SUITE 505
WEST ALLIS, WI 53227
Dietitian, Registered
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Anesthesiology
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Clinic/Center
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Dietitian, Registered
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Rehabilitation Unit
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Registered Nurse (Diabetes Educator)
8901 W LINCOLN AVE, DIABETES ED
WEST ALLIS, WI 53227
Family Medicine
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Dietitian, Registered
8901 W LINCOLN AVE
WEST ALLIS, WI 53227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689695934, enumerated as an "organization" on July 22, 2006.

The provider is located at 8901 W LINCOLN AVE WEST ALLIS, WI 53227 and the phone number is (414) 328-7950.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource. Please consult your insurance carrier or call the provider to verify.