Pharmasan Labs Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PHARMASAN LABS INC

Practice address

375 280TH St
Osceola, WI 54020-4120

Phone

(715) 294-2144

Fax

(715) 294-2006

NPI assigned

Oct 3, 2006

Last updated

Aug 22, 2020By 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

Dr. Gottfried Kellermann, PHD

Title

Owner President

Phone

(715) 294-2144

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• NeuroScience Inc Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760576755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 280TH ST",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540204120",
            "telephone_number": "715-294-2144",
            "fax_number": "715-294-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 280TH ST",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540204120",
            "telephone_number": "715-294-2144",
            "fax_number": "715-294-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMASAN LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLERMANN",
        "authorized_official_first_name": "GOTTFRIED",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "715-294-2144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER NUMBER",
            "identifier": "34-0031",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "30F23PH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7751240",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroScience Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Osceola Medical Center
• Osceola Sleep Center LLC
• Tricia Paulson, ND
• Peace Tree Counseling LLC
• Andrea R Petersen, RD
• Denice Piszczek, RN
• Arnold S Potek, MD
• Jennifer Putz
• Katherine Sue Reinke, OTR/L
• Lara J Riis, PHARM.D.

• Clinical Medical Laboratory in Osceola, WI
• Providers in Osceola, WI by specialty
• Clinical Medical Laboratory in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.