Organization · Type 2 NPI

Dermatopathology of Wisconsin SC

Clinical Medical Laboratory · Brookfield, WI

NPI number 1164494142 Active

Practice location

12805 W Burleigh Rd, Suite 200
Brookfield, WI 53005-3111

Call (262) 797-6434 Map

Fax (262) 797-6429

Mailing address

4770 Regent Blvd
Irving, TX 75063-2445

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000X52D0661946 (WI)

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…

3 other providers at this address

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About NPI 1164494142

Dermatopathology of Wisconsin SC's National Provider Identifier is 1164494142, issued on Feb 3, 2006. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Brookfield, WI. The record was last updated on Oct 21, 2026.