Sheridan Medical Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

53D0662199

Legal business name

SHERIDAN MEDICAL LAB LLC

Practice address

220 West Dow Street
Sheridan, WY 82801

Phone

(307) 672-2095

Fax

(307) 675-1037

NPI assigned

Oct 10, 2006

Last updated

Jun 9, 2010By 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

Linda Rae Billings

Title

Business Manager

Phone

(307) 672-2095

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Lebaron Stears, MD

  • Diagnostic Radiology Physician
  • Fort Collins, CO
  • NPI 1457367864
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1760570659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WEST DOW STREET",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801",
            "telephone_number": "307-672-2095",
            "fax_number": "307-675-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WEST DOW STREET",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "82801",
            "telephone_number": "307-672-2095",
            "fax_number": "307-675-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN MEDICAL LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "BILLINGS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "307-672-2095"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WY",
            "license": "53D0662199",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": "53D0662199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Eye Care Center Inc
• Sheridan Family Practice, P.C.
• Sheridan Health Center, Inc
• Sheridan Internal Medicine
• Sheridan Internal Medicine Associates, Inc.
• Sheridan Memorial Sameday Health & Imaging Urgent Care
• Sheridan Neurology PC
• Sheridan Opco LLC
• Sheridan Optical II, LLC
• Sheridan Optical Inc

• Clinical Medical Laboratory in Sheridan, WY
• Providers in Sheridan, 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 Jun 9, 2010; 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.