OrganizationActive
Professional Clinical Laboratory, LLC
NPI 1174762264 · Clinical Medical Laboratory · Waukesha, WI
Professional Clinical Laboratory, LLC is a Clinical Medical Laboratory organization in Waukesha, WI (NPI 1174762264).
Provider details
- NPI number
- 1174762264
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- John Stager, Manager(262) 542-8020
- License
- 52D1062818 (WI)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 Delafield St
Suite 309
Waukesha, WI 53188-3417
Phone: (262) 542-8020
Fax: (262) 542-4312
Street-level locationGet directions
Mailing address
1111 Delafield St
Waukesha, WI 53188-3417
Registry dates
- Enumerated
- 2009-02-12
- Last updated
- 2009-02-12
Frequently asked questions
- What is Professional Clinical Laboratory, LLC's NPI number?
- Professional Clinical Laboratory, LLC's National Provider Identifier (NPI) is 1174762264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Clinical Laboratory, LLC?
- Professional Clinical Laboratory, LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Professional Clinical Laboratory, LLC located?
- Professional Clinical Laboratory, LLC's practice location on file with NPPES is 1111 Delafield St, Waukesha, WI 53188-3417.
- What is Professional Clinical Laboratory, LLC's phone number?
- The practice phone number listed in the NPPES registry for Professional Clinical Laboratory, LLC is (262) 542-8020.
- Who is the authorized official for Professional Clinical Laboratory, LLC?
- The authorized official listed on Professional Clinical Laboratory, LLC's NPPES record is John Stager, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Clinical Laboratory, LLC's NPI active?
- Yes — Professional Clinical Laboratory, LLC's NPI (1174762264) is active in the NPPES registry as of the last update on 2009-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.