{"npi":"1124155403","type":"NPI-2","status":"active","name":{"display":"University Of Wisconsin System Non Payroll","other":[],"organization_name":"UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL","authorised_official":"Jon Wolff"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":"WI","license":"52D0662277CLIA"}]},"addresses":[{"purpose":"LOCATION","street_1":"1500 HIGHLAND AVE","city":"MADISON","state":"WI","postal_code":"537052280","country_code":"US","street_2":"WAISMAN CENTER RM 362","phone":"6082635993","fax":"6082630530"},{"purpose":"MAILING","street_1":"1500 HIGHLAND AVE","city":"MADISON","state":"WI","postal_code":"537052280","country_code":"US","street_2":"WAISMAN CENTER RM 362","phone":"6082635993","fax":"6082630530"}],"license":{"state":"WI","number":"52D0662277CLIA"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"32907000","state":"WI","issuer":null},{"type_code":"01","label":"Other","value":"000089834","state":"WI","issuer":"MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-02-27","last_updated":"2024-11-27","_meta":{"source":"NPPES","snapshot_date":"2024-11-27","doc_url":"https://findmynpi.com/api"}}