Organization Active NPI

WGT Group LLC

  • Clinical Medical Laboratory
  • Elyria, OH
National Provider Identifier
1336933274
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WGT GROUP LLC
Practice address
123 Reaser CT Ste 7
Elyria, OH 44035-6285
Phone
(440) 616-2899
Fax
(440) 458-4696
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Latonya Hannibal
Title
Owner
Phone
(440) 541-3353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

123 Reaser CT Ste 7
Elyria, OH 44035-6285

Mailing address

123 Reaser CT Ste 7
Elyria, OH 44035-6285
Phone (440) 616-2899

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
36D2320698WGT Group LLC123 Reaser Court Ste 7, Elyria, OH 44035Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory

Locations

815 Superior Ave
Ste 1618
Cleveland, OH 44114
Phone (440) 812-1113

123 Reaser Ct
Ste 7
Elyria, OH 44035

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1336933274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 REASER CT STE 7",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356285",
            "telephone_number": "440-616-2899",
            "fax_number": "440-458-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 REASER CT STE 7",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356285",
            "telephone_number": "440-616-2899",
            "fax_number": "440-458-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WGT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "HANNIBAL",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-541-3353"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.