Organization Active NPI

Employment Testing Services

  • Clinical Medical Laboratory
  • Gillette, WY
National Provider Identifier
1043769078
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EMPLOYMENT TESTING SERVICES
Practice address
3805 South Douglas Hwy
Unit 1
Gillette, WY 82718
Phone
(307) 685-6442
Fax
(307) 685-6404
NPI assigned
Oct 3, 2016
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
EMPLOYMENT TESTING SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Dr. Clinton Jerome Peterson, D.C
Title
President
Phone
(307) 685-6442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X WY Primary

Addresses

Primary practice location

3805 South Douglas Hwy
Unit 1
Gillette, WY 82718

Mailing address

3805 South Douglas Hwy
Unit 1
Gillette, WY 82718
Phone (307) 685-6442

National Provider Directory

National Provider Directory
Part of
Employment Testing Services

Locations

3805 S Douglas Hwy
Unit 1
Gillette, WY 82718
Phone (307) 686-0303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1043769078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 SOUTH DOUGLAS HWY",
            "address_2": "UNIT 1",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "82718",
            "telephone_number": "307-685-6442",
            "fax_number": "307-685-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 SOUTH DOUGLAS HWY",
            "address_2": "UNIT 1",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "82718",
            "telephone_number": "307-685-6442",
            "fax_number": "307-685-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPLOYMENT TESTING SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPLOYMENT TESTING SERVICES LLC",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-685-6442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.