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Professional Clinical Laboratory, LLC

Clinical Medical Laboratory in Waukesha, WI · enumerated 2009 · authorized official John Stager, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174762264

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Clinical Laboratory, LLC
Practice address 1111 Delafield St, Suite 309, Waukesha, WI, 53188
Phone (262) 542-8020
Fax (262) 542-4312
Enumeration date Feb 12, 2009
Last updated in NPPES Feb 12, 2009

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories · License 52D1062818 (WI) Primary

Authorized official

Name John Stager
Title Manager
Phone (262) 542-8020

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Professional Clinical Laboratory, LLC?
The NPI for Professional Clinical Laboratory, LLC is 1174762264, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Professional Clinical Laboratory, LLC?
NPPES lists John Stager (Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-02-12.