Organization Active NPI

Sarah'S Lab

  • Clinical Medical Laboratory
  • Watertown, WI
National Provider Identifier
1013243328
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
32001071959 Issued in FL
Legal business name
SARAH'S LAB
Practice address
213 N. 4TH St.
Watertown, WI 53094-3806
Phone
(920) 215-2008
Fax
(920) 206-1666
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah Kiser
Title
Owner
Phone
(920) 215-2008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 32001071959 FL Primary

Addresses

Primary practice location

213 N. 4TH St.
Watertown, WI 53094-3806

Mailing address

213 N 4TH St
Watertown, WI 53094-3862
Phone (920) 215-2008

Other identifiers 1

IdentifierTypeStateIssuer
1013243328OtherFLCLINICAL MEDICAL LABORATORY

Other names 1

  • Dr. Sarah's Lab Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2123817Sarah'S Lab213 N 4TH Street, Watertown, WI 53094Certificate of waiverJan 3, 2027

National Provider Directory

National Provider Directory

Locations

213 N 4th St
Watertown, WI 53094
Phone (920) 215-2008

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1013243328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N 4TH ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530943862",
            "telephone_number": "920-215-2008",
            "fax_number": "920-206-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N. 4TH ST.",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530943806",
            "telephone_number": "920-215-2008",
            "fax_number": "920-206-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH'S LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "KISER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-215-2008"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "32001071959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL MEDICAL LABORATORY",
            "identifier": "1013243328",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Sarah's Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watertown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.