MEDICARE: WI CARE CLINICAL LABS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1205666344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WI CARE CLINICAL LABS LLC

Provider Business Mailing Address
First Line	:	660 BRANDTLY RIDGE DR
Second Line	:
City	:	COVINGTON
State	:	KY
Zip	:	41015-4228
Country	:	US
Telephone Number	:	603-331-5680
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 K AVE STE 108
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-2538
Country	:	US
Telephone Number	:	603-331-5680
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. PETER JOHN LOGA
Credential	:	PHD, MS, MLS(ASCP)
Telephone Number	:	603-331-5680

Provider Enumeration Date	:	08/05/2024
Last Update Date	:	08/05/2024

Similar Medicare Providers

1346787603 — PLANO FAMILY CLINIC PLLC
Practice Location Address:

6100 K AVE , SUITE 108
PLANO, TX
75074-2538

Practice Phone: 972-509-0752
Practice Fax: 972-509-4926

1932873205 — CAMBRANT LLC
Practice Location Address:

6100 K AVE STE 108
PLANO, TX
75074-2538

Practice Phone: 469-915-5666
Practice Fax: 469-915-5670

1104533991 — I-CHUN CHE FNP-C
Practice Location Address:

6100 K AVE STE 108
PLANO, TX
75074-2538

Practice Phone: 469-910-8283
Practice Fax:

1609564202 — MRS. VERONICA GAYTAN FNP
Practice Location Address:

6100 K AVE STE 108
PLANO, TX
75074-2538

Practice Phone: 469-910-8283
Practice Fax:

1083506273 — KAZUMI UCHIBORI FNP
Practice Location Address:

6100 K AVE
PLANO, TX
75074-2538

Practice Phone: 469-910-8283
Practice Fax:

1548572449 — DANIELLE CARR
Practice Location Address:

6900 PRESTON RD APT 3211
PLANO, TX
75024-2538

Practice Phone: 469-964-3842
Practice Fax:

Directions to “WI CARE CLINICAL LABS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.