PREMISE HEALTH OF WISCONSIN MEDICAL SC
NPI 1912484635
Clinic/Center - Multi-Specialty in Milwaukee, WI

Q: What is Premise Health Of Wisconsin Medical Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since July 25, 2018CLIA 52D2153525 · Microscopy

633 E MASON ST, MILWAUKEE, WI 53202(414) 655-8400(414) 655-5730 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Feb 5, 2026, Aug 15, 2022 and 1 more (4 updates tracked since 2018).

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About Premise Health Of Wisconsin Medical Sc NPPES

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

PREMISE HEALTH OF WISCONSIN MEDICAL SC (NPI 1912484635), doing business as Mutual Health Center Downtown, is a healthcare organization registered as a multi-specialty in Milwaukee, Wisconsin and active in the NPI registry since July 2018. The organization holds a CLIA Microscopy certificate valid through August 26, 2026 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1912484635

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF WISCONSIN MEDICAL SC

Location Address633 E MASON STMilwaukee, WI 53202-3813

Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993

Phone(414) 655-8400

Fax(414) 655-5730

Organization SubpartNo

Authorized OfficialEdward William SchwartzPresident · (844) 407-7557

Enumeration DateJuly 25, 2018

Last NPPES UpdateApril 17, 20264 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1912484635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

633 E MASON ST, Milwaukee, WI 53202

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Other Names 1

Doing Business AsMutual Health Center Downtown

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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 for Provider-Performed Microscopy Procedures (PPMP) 52D2153525

Premise Health Of Wisconsin Medical, Sc Dba Mutual Health Center · Milwaukee, WI

Active · expires Aug 26, 2026

CLIA Number52D2153525

Laboratory TypePhysician Office

Certificate Effective DateAugust 27, 2024

Certificate Expiration DateAugust 26, 2026

Laboratory DirectorDr. Karina Peterson

Laboratory Phone(414) 665-8400

Laboratory LocationPremise Health Of Wisconsin Medical, Sc Dba Mutual Health Center633 East Mason Street, Milwaukee, WI 53202

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

SIJIA MAGGIE WU MD

Family Medicine