CONCENTRA MEDICAL CENTER
NPI 1720111834
Clinic/Center - Health Service in Madison, WI

Q: What is Occupational Health Centers Of The Southwest P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since March 14, 2007CLIA 52D2260487 · Waiver

1619 N STOUGHTON RD, MADISON, WI 53704(608) 244-1213(214) 775-4502 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Concentra Medical Center NPPES

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

CONCENTRA MEDICAL CENTER (NPI 1720111834) is a healthcare organization registered as a health service in Madison, Wisconsin and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Robert Hassett, President, as its authorized official.

NPPES Registry Identity

NPI1720111834

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameOCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST P.A.

Location Address1619 N STOUGHTON RDMadison, WI 53704-2603

Mailing Address5080 Spectrum Dr, Suite 1200 WestAddison, TX 75001-4648

Phone(608) 244-1213

Fax(214) 775-4502

Organization SubpartNo

Authorized OfficialRobert HassettPresident · (972) 364-8000

Enumeration DateMarch 14, 2007

Last NPPES UpdateDecember 19, 2023

NPPES CertifiedDecember 19, 2023

✔ NPI 1720111834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X

1619 N STOUGHTON RD, Madison, WI 53704

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Other Names 1

Doing Business AsConcentra Medical Center

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 of Waiver 52D2260487

Concentra Medical Centers -N Stoughton Road · Madison, WI

Active · expires May 18, 2028

CLIA Number52D2260487

Laboratory TypePhysician Office

Certificate Effective DateMay 19, 2026

Certificate Expiration DateMay 18, 2028

Laboratory DirectorDr. Jessica Perse

Laboratory Phone(608) 298-5128

Laboratory LocationConcentra Medical Centers -N Stoughton Road1619 N Stoughton Rd, Madison, WI 53704

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 9

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

MICHAEL J. BORTOLI M.D.

Preventive Medicine (Occupational Medicine)