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NPI 1700532504 · Clinical Medical Laboratory · Milwaukee, WI
Provider details
- NPI number
- 1700532504
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Donta Williams, Owner(414) 719-6057
Specialties & taxonomies
Laboratories
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
2501 N 35th St Ste 100
Milwaukee, WI 53210-3037
Phone: (414) 719-6057
Street-level locationGet directions
Mailing address
6960 N Raintree Dr Unit C
Milwaukee, WI 53223-5272
Registry dates
- Enumerated
- 2022-03-01
- Last updated
- 2022-03-01
- Certified
- 2022-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.