Active NPI
Aetherion Laboratories
- Naturopath
- Sheridan, WY
National Provider Identifier
1710891387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- Legal business name
- AETHERION LABORATORIES
- Practice address
- 1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777 - Phone
- (704) 517-7091
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- 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
- Mr. Liam Mahoney
- Title
- Ceo
- Phone
- (704) 517-7091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NU | Primary |
Addresses
Primary practice location
1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777
Mailing address
1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1710891387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 COFFEEN AVE STE 1200",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 COFFEEN AVE STE 1200",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015777",
"telephone_number": "704-517-7091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AETHERION LABORATORIES",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "MAHONEY",
"authorized_official_first_name": "LIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-517-7091",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.