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Contact Information

THE LAB, LLC
625 E BROADWAY AVE
JACKSON, WY83001-8642
 Phone: 307-920-1688
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for THE LAB, LLC

NPI # 1609463819
LBN Legal business name THE LAB, LLC
Authorized official AUSTIN HAMMESFAHR - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2020
Last updated 05/23/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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