OrganizationActive
Dermatopathology of Wisconsin Sc
NPI 1164494142 · Clinical Medical Laboratory · Brookfield, WI
Provider details
- NPI number
- 1164494142
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Ameripath Inc.
- Organization subpart
- Yes
- Authorized official
- Darren Wheeler, Vice President(702) 733-7866
- License
- 52D0661946 (WI)
Specialties & taxonomies
Laboratories
Practice location
12805 W Burleigh Rd
Suite 200
Brookfield, WI 53005-3111
Phone: (262) 797-6434
Fax: (262) 797-6429
Approximate (ZIP-level) locationGet directions
Mailing address
14275 Midway Rd Ste 400
Addison, TX 75001-3661
Other names (DBA / former)
- Other name
- Dermpath Diagnostics of Wi
- Other name
- Dermpath Diagnostics of Wi
Registry dates
- Enumerated
- 2006-02-03
- Last updated
- 2024-09-20
- Certified
- 2024-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.