THE LAB, LLC
NPI 1609463819
Physiological Laboratory in Jackson, WY

Q: What is The Lab, LLC's NPI number?

The NPI number for The Lab, LLC is 1609463819. It was assigned to this organization in the NPPES registry on December 22, 2020.

Q: What is The Lab, LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

Q: When was this NPI record last updated?

The NPPES record for The Lab, LLC was last updated on May 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 22, 2020

625 E BROADWAY AVE, JACKSON, WY 83001(307) 920-1688 Get Directions Write a Review

NPPES record last updated: May 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2021, Dec 22, 2020 (2 updates tracked since 2020).

On this page

About The Lab, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE LAB, LLC (NPI 1609463819) is a healthcare organization registered as a physiological laboratory in Jackson, Wyoming and active in the NPI registry since December 2020. The organization lists Austin Hammesfahr, Manager, as its authorized official.

NPPES Registry Identity

NPI1609463819

Entity TypeOrganization

Primary Taxonomy293D00000X

Legal Business NameTHE LAB, LLC

Location Address625 E BROADWAY AVEJackson, WY 83001-8642

Mailing Address522 N Sweetzer Ave Apt 5Los Angeles, CA 90048-2659 · (310) 307-9670

Phone(307) 920-1688

Organization SubpartNo

Authorized OfficialAustin HammesfahrManager · (310) 307-9670

Enumeration DateDecember 22, 2020

Last NPPES UpdateMay 23, 20212 updates tracked since enumeration

NPPES CertifiedMay 23, 2021

✔ NPI 1609463819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories

Taxonomy Code293D00000X

Definition

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

625 E BROADWAY AVE, Jackson, WY 83001

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAWN BRICE WRIGHT CRNA

Nurse Anesthetist, Certified Registered