Great Lakes Pathologists Sc
NPI 1689695934 · Anatomic Pathology & Clinical Pathology Physician · West Allis, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Pathologists Sc is a Anatomic Pathology & Clinical Pathology Physician organization in West Allis, WI (NPI 1689695934).
Provider details
- NPI number
- 1689695934
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jimmy Clark, President(414) 328-7950
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2010-07-12
Frequently asked questions
- What is Great Lakes Pathologists Sc's NPI number?
- Great Lakes Pathologists Sc's National Provider Identifier (NPI) is 1689695934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Pathologists Sc?
- Great Lakes Pathologists Sc is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Pathologists Sc located?
- Great Lakes Pathologists Sc's practice location on file with NPPES is 8901 W Lincoln Ave, West Allis, WI 53227-2409.
- What is Great Lakes Pathologists Sc's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Pathologists Sc is (414) 328-7950.
- Does Great Lakes Pathologists Sc accept Medicare?
- Great Lakes Pathologists Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Lakes Pathologists Sc?
- The authorized official listed on Great Lakes Pathologists Sc's NPPES record is Jimmy Clark, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Pathologists Sc's NPI active?
- Yes — Great Lakes Pathologists Sc's NPI (1689695934) is active in the NPPES registry as of the last update on 2010-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.