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Shade Medical and Creative Tattoo LLC — NPI 1548820731, Madison, WI | NPI Central

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NPI 1548820731

OrganizationActive

Shade Medical and Creative Tattoo LLC

NPI 1548820731 · Medical Art Specialist/Technologist · Madison, WI

Provider details

NPI number: 1548820731
Entity type: Organization
Primary specialty: Medical Art Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
Organization subpart: No
Authorized official: Alissa Waters, Owner/Tattooist(608) 770-5682

Specialties & taxonomies

Medical Art Specialist/TechnologistPrimary246ZA2600X
Technologists, Technicians & Other Technical Service Providers

Practice location

3230 University Ave Ste 12

Madison, WI 53705-3540

Phone: (608) 571-2617

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

2201 Westchester Rd

Fitchburg, WI 53711-4370

Other names (DBA / former)

Doing business as: Shade Tattoo Studio

Registry dates

Enumerated: 2019-06-19
Last updated: 2019-06-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.