WAUKESHA SURGICENTER, LLC
NPI 1245958586
Non-Pharmacy Dispensing Site in Waukesha, WI

NPI Status: Active since August 22, 2022

Contact Information

813 W MORELAND BLVD
WAUKESHA, WI
ZIP 53188
Phone: (262) 297-7246
Fax: (888) 714-0578

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 52D2279743
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-05-2027

About WAUKESHA SURGICENTER, LLC

This page provides the complete NPI Profile along with additional information for Waukesha Surgicenter, Llc, a provider established in Waukesha, Wisconsin operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1245958586 assigned on August 2022. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Kevin Hooker (Hr)

NPI
1245958586
Provider Name
WAUKESHA SURGICENTER, LLC
Entity Type
Organization
Location Address
813 W MORELAND BLVD WAUKESHA, WI 53188
Location Phone
(262) 297-7246
Location Fax
(888) 714-0578
Mailing Address
2500 W LAYTON AVE STE 120 MILWAUKEE, WI 53221
Mailing Phone
(262) 297-7246
Mailing Fax
(888) 714-0578
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-22-2022
Last Update Date
08-22-2022
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN HOOKER

Authorized Official Title
HR
Authorized Official Phone
(262) 297-7246

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
52D2279743
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 06, 2025
Certificate Expiration Date
April 05, 2027
Laboratory Director
DR. MARK AASEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Waukesha Surgicenter, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1245958586
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228518516516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 8 + 5 + 1 + 6 + 5 + 1 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1245958586 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295129021ADVANCED PAIN MANAGEMENT SC
Organization
Durable Medical Equipment & Medical Supplies813 W MORELAND BLVD
WAUKESHA, WI 53188
(414) 325-7246
1295073435WAUKESHA PAIN CENTER LLC
Organization
Clinic/Center (Ambulatory Surgical)813 W MORELAND BLVD
WAUKESHA, WI 53188
(262) 544-1620
1487217303WAUKESHA PAIN CENTER LLC
Organization
Durable Medical Equipment & Medical Supplies813 W MORELAND BLVD
WAUKESHA, WI 53188
(414) 325-7246
1164019485WAUKESHA SURGICENTER, LLC
Organization
Clinic/Center (Ambulatory Surgical)813 W MORELAND BLVD
WAUKESHA, WI 53188
(262) 297-7246

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245958586, enumerated in the NPI registry as an "organization" on August 22, 2022

The provider is located at 813 W Moreland Blvd Waukesha, Wi 53188 and the phone number is (262) 297-7246

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

The provider's CLIA number is 52D2279743 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 22, 2022. 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].
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