Lab Test Club

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LAB TEST CLUB

Practice address

1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777

Phone

(858) 255-4242

NPI assigned

Jan 4, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ben David, MD

Title

Chief Medical Director

Phone

(858) 255-4242

Specialties & licenses 1

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.

• Aaron Gabriel Grossman, MD

  • General Practice Physician
  • Pompano Beach, FL
  • NPI 1124537634
  NPD

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1912610916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 COFFEEN AVE STE 1200",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015777",
            "telephone_number": "858-255-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 COFFEEN AVE STE 1200",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015777",
            "telephone_number": "858-255-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB TEST CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "858-255-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krunchcontact LLC
• Lora Kruse, RN
• Rebecca A Krzyminski, D.O.
• Rhonda Kuehn
• Lisa Kutz, LMFT
• Holly Labrake
• Gayle M Lachowicz
• Shalyn Lackey
• Rachel Laird
• Brian Laman, M.D.

• General Practice Physician in Sheridan, WY
• Providers in Sheridan, WY by specialty
• General Practice Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.