Provider Demographics
NPI:1568629186
Name:WOMENS HEALTH AMERICA
Entity Type:Organization
Organization Name:WOMENS HEALTH AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOPIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-558-7046
Mailing Address - Street 1:1289 DEMING WAY
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-2007
Mailing Address - Country:US
Mailing Address - Phone:800-558-7046
Mailing Address - Fax:888-898-7412
Practice Address - Street 1:1289 DEMING WAY
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-2007
Practice Address - Country:US
Practice Address - Phone:800-558-7046
Practice Address - Fax:888-898-7412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI52D0994567291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory