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Martavia Stanford, LABORATORYDIRECTOR
Clinical Laboratory Director (Non-physician) in Brookfield, Wisconsin
NPI 1548985930

Martavia Stanford is a Clinical Laboratory Director (Non-physician) based in Brookfield, WI and is specialized in Clinical Laboratory Director, Non-physician. Martavia Stanford practices in Brookfield, WI and has the professional credentials of LABORATORYDIRECTOR. The NPI Number for Martavia Stanford is 1548985930 and holds a License No. (Wisconsin).

The current practice location address for Martavia Stanford is 120 Bishops Way Ste 165, Brookfield, WI and can be reached out via phone at 414-355-5525 and via fax at 414-240-4595.

Location: 120 Bishops Way Ste 165, Brookfield, WI, 53005-6249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548985930
Provider Name
Martavia Stanford
Credential
LABORATORYDIRECTOR
Provider Entity Type
Individual
Gender
Female
Address
120 Bishops Way Ste 165, Brookfield, WI, 53005-6249
Phone Number
414-355-5525
Fax Number
414-240-4595
Provider Enumeration Date
10/07/2022
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
52D2261520 01 WI CLIA STATE OF WISCONSIN
institution
Provider Business Practice Location Address Details
Address
120 Bishops Way Ste 165
City
Brookfield
State
Wisconsin
Zip
53005-6249
Phone Number
414-355-5525
Fax Number
414-240-4595
person
Provider Business Mailing Address Details
Address
120 Bishops Way Ste 165
City
Brookfield
State
Wisconsin
Zip
53005-6249
Phone Number
414-355-5525
Fax Number
414-240-4595
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
52D2261520 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
()
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
person
Provider's Taxonomy Details 4
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
person
Provider's Taxonomy Details 5
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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