Active NPI
WGT Group LLC
- Clinical Medical Laboratory
- Elyria, OH
National Provider Identifier
1336933274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2320698 | WGT Group LLC | Certificate of waiver | Mar 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.