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Great Lakes Pathologists Sc

Anatomic Pathology & Clinical Pathology Physician in West Allis, WI · enumerated 2006 · authorized official Jimmy Clark, President.

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

National Provider Identifier

1689695934

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Pathologists Sc
Practice address 8901 W Lincoln Ave, West Allis, WI, 53227
Fax (414) 328-7998
Enumeration date Jul 22, 2006
Last updated in NPPES Jul 12, 2010

Taxonomy & classification

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jimmy Clark
Title President

Other identifiers

Identifier Type State Issuer
32824300 Medicaid WI -
CI2426 Other WI RAIL ROAD MEDICARE

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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Great Lakes Pathologists Sc?
Great Lakes Pathologists Sc is registered in NPPES as a Anatomic Pathology & Clinical Pathology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-07-12.