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Green Lake Medical Clinic
Clinical Medical Laboratory in Green Lake, Wisconsin
NPI 1316087885

Green Lake Medical Clinic is a Clinical Medical Laboratory based in Green Lake, WI. Green Lake Medical Clinic practices in Green Lake, WI. The NPI Number for Green Lake Medical Clinic is 1316087885 and holds a License No. 17659 (Wisconsin).

The current practice location address for Green Lake Medical Clinic is N6205 Busse Drive, Green Lake, WI and can be reached out via phone at 920-294-3444 and via fax at 920-294-6660.

Location: N6205 Busse Drive, Green Lake, WI, 54941-0429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316087885
Provider Name
Green Lake Medical Clinic
Credential
Provider Entity Type
Organization
Address
N6205 Busse Drive, Green Lake, WI, 54941-0429
Phone Number
920-294-3444
Fax Number
920-294-6660
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30071600 05 WI
institution
Provider Business Practice Location Address Details
Address
N6205 Busse Drive
City
Green Lake
State
Wisconsin
Zip
54941-0429
Phone Number
920-294-3444
Fax Number
920-294-6660
person
Provider Business Mailing Address Details
Address
N6205 Busse Drive
City
Green Lake
State
Wisconsin
Zip
54941-0429
Phone Number
920-294-3444
Fax Number
920-294-6660
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
17659 (Wisconsin)
Definition
(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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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