Organization Active NPI

Metabolic Analysis Labs Inc

  • Clinical Medical Laboratory
  • Madison, WI
National Provider Identifier
1679747000
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Apr 16, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
32904900MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.