KENOSHA VASCULAR LAB INC
NPI 1033246152
Specialist in Kenosha, WI
NPI Status: Active since February 27, 2007
Contact Information
6308 8TH AVE
SUITE 301
KENOSHA, WI
ZIP 53143
Phone: (262) 656-8265
Fax: (262) 656-8273
- Organization
- Specialist
- CLIA Number: 52D1024853
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About KENOSHA VASCULAR LAB INC
This page provides the complete NPI Profile along with additional information for Kenosha Vascular Lab Inc, a provider established in Kenosha, Wisconsin operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1033246152 assigned on February 2007. The practitioner's primary taxonomy code is 174400000X with license number 22193 (WI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Robert G Cook (President)
- NPI
- 1033246152
- Provider Name
- KENOSHA VASCULAR LAB INC
- Entity Type
- Organization
- Location Address
- 6308 8TH AVE SUITE 301 KENOSHA, WI 53143
- Location Phone
- (262) 656-8265
- Location Fax
- (262) 656-8273
- Mailing Address
- 6308 8TH AVE SUITE 301 KENOSHA, WI 53143
- Mailing Phone
- (262) 656-8265
- Mailing Fax
- (262) 656-8273
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-27-2007
- Last Update Date
- 08-22-2020
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 22193
- License State
- WI
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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
- 52D1024853
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 22, 2004
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- JOSHUA BUSS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Kenosha Vascular Lab Inc 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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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 2 | 4 | 6 | 1 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 4 | 4 | 12 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 4 + 4 + 1 + 2 + 1 + 1 + 0 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1033246152 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366440851 | JANET S BARNEY APNP Individual | Nurse Practitioner (Primary Care) | 6308 8TH AVE SUITE 2000 KENOSHA, WI 53143 (262) 653-5300 |
| 1699767673 | MR. DINO LAURENZI JR. L-ATC Individual | Specialist/Technologist (Athletic Trainer) | 6308 8TH AVE SUITE 501 KENOSHA, WI 53143 (262) 656-3280 |
| 1982685905 | DR. JAMES A SHAPIRO MD Individual | Orthopaedic Surgery | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-3150 |
| 1972586931 | DR. NARAYAN BALIGA Individual | Anesthesiology | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-2011 |
| 1073596896 | DR. RICK J HUTSON M.D. Individual | Anesthesiology | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-2011 |
| 1841273653 | DR. BRADLEY N HAUGSTAD M.D. Individual | Anesthesiology | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-2011 |
| 1477536928 | DR. DAVID B. JACKSON M.D. Individual | Anesthesiology | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-2011 |
| 1518941707 | DRS FULLIN MANDA KREAGER & ABBO LLC Organization | Internal Medicine (Cardiovascular Disease) | 6308 8TH AVE STE 3060 KENOSHA, WI 53143 (262) 656-8271 |
| 1407830698 | DR. RAMANUJA R MANDA MD FACC FCCP Individual | Internal Medicine (Cardiovascular Disease) | 6308 8TH AVE STE 3060 KENOSHA, WI 53143 (262) 656-8271 |
| 1124002282 | DR. PAUL G SPOTTSWOOD M.D. Individual | Anesthesiology | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-2011 |
| 1275518276 | THERESA A. ASCHENBRENER C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-2011 |
| 1043266992 | MICHAEL H ZEIHEN MD Individual | Internal Medicine | 6308 8TH AVE SUITE 2000 KENOSHA, WI 53143 (262) 653-5300 |
| 1013963792 | RAYMOND W KNIGHT MD Individual | Internal Medicine (Hematology & Oncology) | 6308 8TH AVE STE 2000 KENOSHA, WI 53143 (262) 653-5300 |
| 1497701809 | MARIO GARRETTO MD Individual | Internal Medicine (Gastroenterology) | 6308 8TH AVE STE 202 KENOSHA, WI 53143 (262) 653-5330 |
| 1760413900 | NED R. NOVSAM M.D. Individual | Urology | 6308 8TH AVE SUITE 503 KENOSHA, WI 53143 (262) 656-8213 |
| 1134150386 | DR. MEREDITH CARTER CLUBB M.D. Individual | Urology | 6308 8TH AVE STE 503 KENOSHA, WI 53143 (262) 656-8213 |
| 1104858349 | DR. HEATHER M WULTERKENS AU.D. Individual | Audiologist | 6308 8TH AVE SUITE 3000 KENOSHA, WI 53143 (262) 656-3300 |
| 1093748493 | MR. ERNESTO ERFE BUENCAMINO MD Individual | Internal Medicine | 6308 8TH AVE SUITE 3090 KENOSHA, WI 53143 (262) 658-1678 |
| 1447271309 | BRANKO PRPA M.D. Individual | Orthopaedic Surgery | 6308 8TH AVE SUITE 1020 KENOSHA, WI 53143 (262) 656-2600 |
| 1629080247 | HEATHER M BARRETT PA Individual | Physician Assistant (Medical) | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-5330 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033246152, enumerated in the NPI registry as an "organization" on February 27, 2007
The provider is located at 6308 8th Ave Suite 301 Kenosha, Wi 53143 and the phone number is (262) 656-8265
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider's CLIA number is 52D1024853 for a "community clinic" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued 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..
This NPI record was last updated on February 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.