Active NPI
Medical Arts Laboratory, Inc
- Clinical Medical Laboratory
- Gillette, WY
National Provider Identifier
1336530013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MEDICAL ARTS LABORATORY, INC
- Practice address
- 407 S Medical Arts CT Ste E
Gillette, WY 82716-3372 - Phone
- (307) 682-1234
- Fax
- (307) 686-6167
- NPI assigned
- Feb 17, 2015
- Last updated
- Jul 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James J Naramore, MD
- Title
- President
- Phone
- (307) 686-0308
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | WY | Primary |
Addresses
Primary practice location
407 S Medical Arts CT Ste E
Gillette, WY 82716-3372
Mailing address
407 S Medical Arts CT Ste E
Gillette, WY 82716-3372
Phone (307) 682-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139514900 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150429000477 | WY | Part B Supplier - Independent Clinical Laboratory | 0446579247 | Practice locations: Gillette, WY |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Gillette, WY
- NPI 1841280880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468454400000",
"number": "1336530013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 S MEDICAL ARTS CT STE E",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163372",
"telephone_number": "307-682-1234",
"fax_number": "307-686-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 S MEDICAL ARTS CT STE E",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163372",
"telephone_number": "307-682-1234",
"fax_number": "307-686-6167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ARTS LABORATORY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-17",
"last_updated": "2016-07-14",
"status": "A",
"authorized_official_last_name": "NARAMORE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "307-686-0308",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "WY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139514900",
"state": "WY"
}
],
"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 Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.