LAKESHORE MEDICAL CLINIC LLC
NPI 1497983837
Durable Medical Equipment & Medical Supplies in Franklin, WI

NPI Status: Active since June 24, 2009

Contact Information

4202 W OAKWOOD PARK CT
FRANKLIN, WI
ZIP 53132
Phone: (414) 423-5250

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 52D1101745
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-24-2025

About LAKESHORE MEDICAL CLINIC LLC

This page provides the complete NPI Profile along with additional information for Lakeshore Medical Clinic Llc, a provider established in Franklin, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1497983837 assigned on June 2009. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Michael Bania (Senior Director)

NPI
1497983837
Provider Name
LAKESHORE MEDICAL CLINIC LLC
Entity Type
Organization
Location Address
4202 W OAKWOOD PARK CT FRANKLIN, WI 53132
Location Phone
(414) 423-5250
Mailing Address
3301 W FOREST HOME AVE MILWAUKEE, WI 53215
Mailing Phone
(414) 647-6326
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2009
Last Update Date
07-20-2017
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MICHAEL BANIA

Authorized Official Title
SENIOR DIRECTOR
Authorized Official Phone
(414) 766-9094

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0458040023MEDICARE NSC (07)WI 

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
52D1101745
Facility Type
Physician Office
Certificate Effective Date
May 25, 2023
Certificate Expiration Date
May 24, 2025
Laboratory Director
DR. MICHAEL D. D'AMICO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Lakeshore Medical Clinic Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for LAKESHORE MEDICAL CLINIC LLC

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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.
1497983837
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187188686
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 8 + 8 + 6 + 8 + 6 + 24 = 83
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 83 = 77

The NPI number 1497983837 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245254259 ROBERT A. PALM M.D.
Individual
Urology4202 W OAKWOOD PARK CT # 200
FRANKLIN, WI 53132
(414) 423-5250
1497148969ADVANCED PAIN MANAGEMENT SC
Organization
Durable Medical Equipment & Medical Supplies4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
(414) 325-7246
1083948707PAIN CENTERS OF WISCONSIN-FRANKLIN, LLC
Organization
Clinic/Center (Ambulatory Surgical)4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
(414) 421-6002
1386602811 LISA M SCHABLA PA SPECIALIST
Individual
Nurse Practitioner4202 W OAKWOOD PARK CT SUITE 120
FRANKLIN, WI 53132
(414) 855-2800
1487217394PAIN CENTERS OF WISCONSIN-FRANKLIN, LLC
Organization
Durable Medical Equipment & Medical Supplies4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
(414) 325-7246
1891752325DR. CARMELA A BARR MD
Individual
Obstetrics & Gynecology4202 W OAKWOOD PARK CT SUITE 120
FRANKLIN, WI 53132
(414) 855-2800
1124612924MILWAUKEE SURGICENTER LLC
Organization
Clinic/Center (Ambulatory Surgical)4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
(262) 297-7246
1558789388 MELODY CHEN M.D.
Individual
Urology4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
(414) 423-5250
1255584165 DAWN M SMITH PA-C
Individual
Physician Assistant4202 W OAKWOOD PARK CT SUITE 120
FRANKLIN, WI 53132
(414) 855-2800
1164926499 JACK STEINER
Individual
Dermatology4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
(414) 423-5250
1528029949 GEOFFREY A SCOTT MD
Individual
Family Medicine4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
(414) 423-5250
1346700135 BRITTANY N HOWSE
Individual
Obstetrics & Gynecology4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
(414) 423-5250
1851345896DR. BELINDA V LEUNG MD
Individual
Obstetrics & Gynecology4202 W OAKWOOD PARK CT SUITE 120
FRANKLIN, WI 53132
(414) 855-2800
1275094799 KATHERINE THERESA PELLINO MD
Individual
Obstetrics & Gynecology4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
(414) 423-5250
1881940104DR. ALISON E WILD DPT
Individual
Physical Therapist4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
(414) 855-2870
1740696780 FNU MARIUM
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
(414) 423-5250
1659613438MS. KELLY NICOLE REESER RD
Individual
Dietitian, Registered4202 W OAKWOOD PARK CT
FRANKLIN, WI 53132
(414) 423-5250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497983837, enumerated in the NPI registry as an "organization" on June 24, 2009

The provider is located at 4202 W Oakwood Park Ct Franklin, Wi 53132 and the phone number is (414) 423-5250

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 52D1101745 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on June 24, 2009. 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.