OrganizationActive
Care Connection Health Solutions,llc
NPI 1063141307 · Clinical Medical Laboratory · Brookfield, WI
Provider details
- NPI number
- 1063141307
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Martavia Stanford, Owner(414) 355-5525
Specialties & taxonomies
Laboratories
Practice location
120 Bishops Way Ste 152
Brookfield, WI 53005-6271
Phone: (414) 355-5525
Fax: (414) 240-3595
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 13851
Wauwatosa, WI 53213-0851
Registry dates
- Enumerated
- 2022-06-09
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.