Healthcare Provider Details

I. General information

NPI: 1043142276
Provider Name (Legal Business Name): INSTANT DRAW LABORATORY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8531 W DOUGLAS AVE
MILWAUKEE WI
53225-1917
US

IV. Provider business mailing address

8531 W DOUGLAS AVE
MILWAUKEE WI
53225-1917
US

V. Phone/Fax

Practice location:
  • Phone: 262-595-7998
  • Fax:
Mailing address:
  • Phone: 262-595-7998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: SIDNEY L SMITH
Title or Position: OWNER/PHLEBOTOMIST
Credential:
Phone: 262-595-7998