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

Q: What is the provider's specialty?

The provider's specialty is Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

Active since July 22, 2006

8901 W LINCOLN AVE, WEST ALLIS, WI 53227(414) 328-7950(414) 328-7998 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Great Lakes Pathologists Sc NPPES

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

GREAT LAKES PATHOLOGISTS SC (NPI 1689695934) is a healthcare organization registered as an anatomic pathology & clinical pathology in West Allis, Wisconsin and active in the NPI registry since July 2006. The organization lists Jimmy R Clark, President, as its authorized official.

NPPES Registry Identity

NPI1689695934

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NameGREAT LAKES PATHOLOGISTS SC

Location Address8901 W LINCOLN AVEWest Allis, WI 53227-2409

Mailing Address8901 W Lincoln AveWest Allis, WI 53227-2409 · (414) 328-7950 · Fax (414) 328-7998

Phone(414) 328-7950

Fax(414) 328-7998

Organization SubpartNo

Authorized OfficialJimmy R ClarkPresident · (414) 328-7950

Enumeration DateJuly 22, 2006

Last NPPES UpdateJuly 12, 2010

✔ NPI 1689695934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Definition

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.

8901 W LINCOLN AVE, West Allis, WI 53227

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Other Identifiers 8

Medicare PIN000060240WI

OtherCI2426WI · Rail Road Medicare

Other=========029WI · Bcbs

Medicaid32824300WI

Medicare PIN000002045WI

Medicare PIN000007045WI

Medicare PIN000065190WI

Medicare PIN000052510WI

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Quartz.Insurance ›