MILWAUKEE EP, LLC
NPI 1912757444
Emergency Medicine - Emergency Medical Services in Milwaukee, WI
- Organization
- Emergency Medicine
- Emergency Medical Services
- CLIA Number: 52D2302205
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 04-04-2026
About MILWAUKEE EP, LLC
This page provides the complete NPI Profile along with additional information for Milwaukee Ep, Llc, a provider established in Milwaukee, Wisconsin operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1912757444 assigned on March 2024. The practitioner's primary taxonomy code is 207PE0004X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Milwaukee Ep, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tom Vo (Ceo)
- NPI
- 1912757444 Verify this NPI
- Provider Name
- MILWAUKEE EP, LLC
- Entity Type
- Organization
- Location Address
- 1751 W LAYTON AVE MILWAUKEE, WI 53221
- Location Phone
- (713) 660-0555
- Mailing Address
- 6030 S RICE AVE STE C HOUSTON, TX 77081
- Mailing Phone
- (713) 660-0557
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-26-2024
- Last Update Date
- 03-26-2024
- Code Navigator
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
Emergency Medicine Emergency Medical Services
- Taxonomy Code
- 207PE0004X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2302205
- Facility Type
- Hospital
- Certificate Effective Date
- April 05, 2024
- Certificate Expiration Date
- April 04, 2026
- Laboratory Director
- DR. MATTHEW D. FREEMAN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Milwaukee Ep, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912757444, enumerated as an "organization" on March 26, 2024.
The provider is located at 1751 W LAYTON AVE MILWAUKEE, WI 53221 and the phone number is (713) 660-0555.
Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.
