Wyolabs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WYOLABS

Practice address

1211 S Douglas Hwy Ste 100
Gillette, WY 82716-4982

Phone

(307) 299-9170

Fax

(307) 670-9193

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Anni StaffordNPI 1144483330

Title

Owner

Phone

(307) 299-9170

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anni Jean Stafford, MOTR L

  • Occupational Therapist
  • Gillette, WY
  • NPI 1144483330
  NPD Authorized official

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1730840489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S DOUGLAS HWY STE 100",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164982",
            "telephone_number": "307-299-9170",
            "fax_number": "307-670-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S DOUGLAS HWY STE 100",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164982",
            "telephone_number": "307-299-9170",
            "fax_number": "307-670-9193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 S Main St Unit B",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "WY",
            "postal_code": "828341895",
            "country_code": "US",
            "telephone_number": "307-299-9170",
            "fax_number": "307-670-9193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 Coffeen Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828016288",
            "country_code": "US",
            "telephone_number": "307-299-9170",
            "fax_number": "307-670-9193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Brownfield Rd",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "WY",
            "postal_code": "826332555",
            "country_code": "US",
            "telephone_number": "307-299-9170",
            "fax_number": "307-670-9193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 W Main St",
            "address_purpose": "LOCATION",
            "city": "Newcastle",
            "state": "WY",
            "postal_code": "827012719",
            "country_code": "US",
            "telephone_number": "307-299-9170",
            "fax_number": "307-670-9193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WYOLABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "ANNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-299-9170"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Woodham, DC
• William B Woodward Jr., M.D.
• Annie Lorie Worman
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• Clinical Medical Laboratory in Gillette, WY
• Providers in Gillette, WY by specialty
• Clinical Medical Laboratory in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.