Active NPI
Options Lab, Inc.
- Clinical Medical Laboratory
- Appleton, WI
National Provider Identifier
1407091101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- OPTIONS LAB, INC.
- Practice address
- 4000 W Spencer St
Appleton, WI 54914-4015 - Phone
- (920) 882-1646
- Fax
- (920) 882-1647
- NPI assigned
- Dec 9, 2008
- Organization subpart
- No
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 |
|---|---|---|---|
| 52D2019528 | Options Lab, Inc | Accreditation | Jan 24, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110616000380 | WI | Part B Supplier - Independent Clinical Laboratory | 4880872076 | Practice locations: Appleton, WI |
National Provider Directory
National Provider DirectoryNPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian W Wagner
- Title
- Vice President
- Phone
- (920) 882-1646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
4000 W Spencer St
Appleton, WI 54914-4015
Mailing address
PO Box 179
Appleton, WI 54912-0179
Phone (920) 659-8977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100016778 | Medicaid | WI |
NPI Registry JSON
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1407091101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 179",
"city": "APPLETON",
"state": "WI",
"postal_code": "549120179",
"telephone_number": "920-659-8977",
"fax_number": "920-882-1647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 W SPENCER ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549144015",
"telephone_number": "920-882-1646",
"fax_number": "920-882-1647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIONS LAB, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "920-882-1646"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100016778",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.