Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenosha Vascular Lab Inc

Organization Specialist · NPI 1033246152

Kenosha Vascular Lab Inc is a Specialist in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6308 8th Ave Ste 301
Kenosha, WI 53143-5031
Phone: (262) 656-8265
Fax: (262) 656-8273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 22193 (WI)

Record details

NPI number1033246152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Cook — President · (262) 656-8265
NPI enumeratedFebruary 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6308 8th Ave, Suite 301, Kenosha, WI 53143-5031

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