COLAB PHYSICIANS, SC
NPI 1902666035
Family Medicine in Mequon, WI

Active since March 19, 2024CLIA 52D2300413 · Waiver
10325 N PORT WASHINGTON RD STE 150, MEQUON, WI 53092(262) 643-4720(262) 643-4720 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Colab Physicians, Sc NPPES

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

COLAB PHYSICIANS, SC (NPI 1902666035) is a healthcare organization registered as a family medicine in Mequon, Wisconsin and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through March 10, 2028 and lists Mark W Niedfeldt, President, as its authorized official.

NPPES Registry Identity

NPI1902666035
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOLAB PHYSICIANS, SC
Location Address10325 N PORT WASHINGTON RD STE 150Mequon, WI 53092-5768
Mailing Address6400 Industrial LoopGreendale, WI 53129-2452 · (414) 858-4106
Fax(262) 643-4720
Organization SubpartNo
Authorized OfficialMark W NiedfeldtPresident · (262) 643-4720
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1902666035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10325 N PORT WASHINGTON RD STE 150, Mequon, WI 53092

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 SINGLE SPECIALTY GROUP

Accepted Insurance

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 52D2300413

Colab Physicians, Sc · Mequon, WI
Active · expires Mar 10, 2028
CLIA Number52D2300413
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorDr. Mark Niedfeldt
Laboratory Phone(262) 643-4720
Laboratory LocationColab Physicians, Sc10325 N Port Washington Rd, Suite 150, Mequon, WI 53092
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
10325 N PORT WASHINGTON RD STE 150
MEQUON, WI 53092

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 Colab Physicians, Sc's NPI number?

The NPI number for Colab Physicians, Sc is 1902666035. It was assigned to this organization in the NPPES registry on March 19, 2024.

Where is Colab Physicians, Sc located?

Colab Physicians, Sc is located at 10325 N Port Washington Rd Ste 150, Mequon, WI 53092. The listed phone number is (262) 643-4720.

What is Colab Physicians, Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Colab Physicians, Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2300413) is associated with this NPI, valid through March 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Colab Physicians, Sc accept?

Health plans from CareSource (Common Ground Healthcare) list Colab Physicians, Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colab Physicians, Sc was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.