Neuroimmunology Labs, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEUROIMMUNOLOGY LABS, INC.

Practice address

375 280TH St
BLDG B
Osceola, WI 54020-4120

Phone

(715) 294-2852

NPI assigned

Aug 22, 2007

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, PH.D.

Title

President

Phone

(715) 294-2852

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1871786053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 280TH ST",
            "address_2": "BLDG B",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540204120",
            "telephone_number": "715-294-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 280TH ST",
            "address_2": "BLDG B",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540204120",
            "telephone_number": "715-294-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROIMMUNOLOGY LABS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLERMANN",
        "authorized_official_first_name": "GOTTFRIED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-294-2852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Miller, PTA
• Janae Marie Momchilovich, DDS
• Tiffany Morris
• Danelle Mortenson
• Kevin Curtis Nepsund, M.D.
• Kristina Elizabeth Noding, D.M.D.
• Douglas Eugene Nykanen, R.PH.
• Chelsea O'Brien
• Olson CC Wellness LLC
• Ann M Olson, PT

• 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, 2007; 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.