Organization · Type 2 NPI

ST Mary's Hospital Medical Center of Green Bay Inc.-Hospital Sisters

Clinical Medical Laboratory · Green Bay, WI

NPI number 1043828387 Active

Practice location

1726 Shawano Ave
Green Bay, WI 54303-3282

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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NPI record

NPI: 1043828387
Entity type: Organization (Type 2)
Issued: Jul 22, 2020
Last updated: Dec 22, 2021
Status: Active
Subpart: Yes of ST Mary's Hospital Medical Center of Green Bay Inc.-Hospital Sisters

Other names

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St. Mary's Hospital Outpatient Lab · doing business as
St. Mary's Hospital Outpatient Lab · doing business as

Authorized official

Brian Charlier
CEO/president
(920) 676-1148

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About NPI 1043828387

ST Mary's Hospital Medical Center of Green Bay Inc.-Hospital Sisters's National Provider Identifier is 1043828387, issued on Jul 22, 2020. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Green Bay, WI. The record was last updated on Dec 22, 2021.