Lab Team Assistants, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

LAB TEAM ASSISTANTS, LLC

Practice address

849 W 80TH St
Bloomington, MN 55420-1027

Phone

(612) 547-5754

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Wylie, CPT, MA

Title

Laboratory Director

Phone

(612) 547-5754

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1730757824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 W 80TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201027",
            "telephone_number": "612-547-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 W 80TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201027",
            "telephone_number": "612-547-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB TEAM ASSISTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "612-547-5754",
        "authorized_official_credential": "CPT, MA"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt Kurilla, PTA
• Carla Kwadzo
• Hajaysen Kwateh
• Sarah Marie Kyalo, LICSW
• Shirlynn MC Neil La Chapelle, PMHNP-BC
• Bryan Labore, MD
• Jessica Labuz, PHD
• Carol J Ladd, MSW LICSW LSSW
• Naomi Willene Ladd
• Ladnaan Partners (Ladnaan Partners LLC)

• Physiological Laboratory in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Physiological Laboratory in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.