LAB TEST CLUB NPI 1912610916

NPI Information

  • NPI: 1912610916
  • Provider Name: LAB TEST CLUB
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1309 COFFEEN AVE STE 1200
    SHERIDAN, WY
    ZIP 82801
  • Phone: (858) 255-4242

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NPI Details

LAB TEST CLUB is a general practice in Sheridan, WY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LAB TEST CLUB NPI is 1912610916. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1309 COFFEEN AVE STE 1200
SHERIDAN, WY
ZIP 82801-777
Phone: (858) 255-4242

The provider's authorized official is Ben David .
The authorized official title is Chief Medical Director and has the following contact phone number (858) 255-4242.

The enumeration date for this NPI number is 1/4/2023 and was last updated on 10/26/2023.

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
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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