Active NPI
Employment Testing Services
- Clinical Medical Laboratory
- Gillette, WY
National Provider Identifier
1043769078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2016
- Organization subpart
- Yes
- Parent organization
- EMPLOYMENT TESTING SERVICES LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Chiropractor
- Gillette, WY
- NPI 1770521221
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.