BEAVER DAM REFERENCE LABORATORY – NPI #1144533084
Clinical Medical Laboratory

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

BEAVER DAM REFERENCE LABORATORY is a clinical medical laboratory located in BEAVER DAM, WI. NPPES has assigned the NPI number 1144533084 to BEAVER DAM REFERENCE LABORATORY on July 20, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEAVER DAM REFERENCE LABORATORY” is a dba name, the actual legal business name for this organization is CASITAS DIAGNOSTICS INC. The primary taxonomy selected by this provider is 291U00000X from the Health Care Provider Taxonomy code set, which is classified as Clinical Medical Laboratory.

The NPI profile was previously updated about 16 years ago on Jul 21, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEAVER DAM REFERENCE LABORATORY below.

NPI Profile for
CASITAS DIAGNOSTICS INC

NPI Number
1144533084
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CASITAS DIAGNOSTICS INC
Doing Business As (dba): BEAVER DAM REFERENCE LABORATORY
Primary location
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916-3027
Phone: (888) 754-0451 Fax:
Mailing address
11490 BURBANK BLVD
STE 1D
NORTH HOLLYWOOD, CA 91601-2389
Phone: (888) 754-0451 Fax:
Organization Subpart
No
Authorized Official
JOSHUA PIERCE
PRESIDENT
Phone: (888) 754-0451
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
291U00000X
- Clinical Medical Laboratory (Primary)
WI 53D0662012

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.