Healthcare Provider Details

I. General information

NPI: 1659287688
Provider Name (Legal Business Name): GIFTED HANDS MOBILE DIAGNOSTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 W SILVER SPRING DR
MILWAUKEE WI
53225-3267
US

IV. Provider business mailing address

10400 W SILVER SPRING DR
MILWAUKEE WI
53225-3267
US

V. Phone/Fax

Practice location:
  • Phone: 414-296-8949
  • Fax: 414-261-1540
Mailing address:
  • Phone: 414-296-8949
  • Fax: 414-261-1540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: ALISHA BUFFORD
Title or Position: OWNER/OPERATOR
Credential:
Phone: 414-731-9494