Organization Active NPI

Labco, LLC

  • Clinical Medical Laboratory
  • Park Falls, WI
National Provider Identifier
1174692628
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABCO, LLC
Practice address
222 Lawrence Ave
Park Falls, WI 54552-1431
Phone
(715) 762-2975
NPI assigned
Nov 7, 2006
Last updated
Sep 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Sharon K Schultz
Title
President
Phone
(715) 762-2449

Specialties & licenses 1

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

Addresses

Primary practice location

222 Lawrence Ave
Park Falls, WI 54552-1431

Mailing address

222 Lawrence Ave
Park Falls, WI 54552-1431
Phone (715) 762-2975

Other identifiers 1

IdentifierTypeStateIssuer
36204100MedicaidWI

National Provider Directory

National Provider Directory

Locations

222 Lawrence Ave
Ste 3
Park Falls, WI 54552
Phone (715) 762-2975

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1174692628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 LAWRENCE AVE",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521431",
            "telephone_number": "715-762-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 LAWRENCE AVE",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521431",
            "telephone_number": "715-762-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-762-2449"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36204100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.