NPI Details
INNOVATIVE NUTRITION SOLUTIONS, LLC is a clinical medical laboratory in Madison, WI. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. INNOVATIVE NUTRITION SOLUTIONS, LLC NPI is 1003824079. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
414 DONOFRIO DR
SUITE 120
MADISON, WI
ZIP 53719-847
Phone: (608) 836-3473
Fax: (608) 831-5319
The provider's authorized official is Karyn Evelyn Moehring .
The authorized official title is Clinical Nutrition Therapist and has the following contact phone number (608) 836-3473.
The enumeration date for this NPI number is 8/4/2006 and was last updated on 9/11/2025.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 133V00000X | Dietitian, Registered | | 1680-029 | WISCONSIN | No |
| 2 | 291U00000X | Clinical Medical Laboratory | | | WISCONSIN | Yes |
