Active NPI
Metabolic Analysis Labs Inc
- Clinical Medical Laboratory
- Madison, WI
National Provider Identifier
1679747000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- METABOLIC ANALYSIS LABS INC
- Practice address
- 1202 Ann St
Madison, WI 53713-2410 - Phone
- (608) 255-2491
- Fax
- (608) 257-3015
- NPI assigned
- Apr 16, 2008
- 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
- Ms. Mary J Schmidt, MT(ASCP)
- Title
- Laboratory Manager
- Phone
- (608) 255-2491
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | WI | Primary |
Addresses
Primary practice location
1202 Ann St
Madison, WI 53713-2410
Mailing address
1202 Ann St
Madison, WI 53713-2410
Phone (608) 255-2491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32904900 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
1202 Ann St
Madison, WI 53713
Phone (608) 255-2491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208304000000",
"number": "1679747000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 ANN ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537132410",
"telephone_number": "608-255-2491",
"fax_number": "608-257-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 ANN ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537132410",
"telephone_number": "608-255-2491",
"fax_number": "608-257-3015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METABOLIC ANALYSIS LABS INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A",
"authorized_official_last_name": "SCHMIDT",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "LABORATORY MANAGER",
"authorized_official_telephone_number": "608-255-2491",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MT(ASCP)"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32904900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.