LAB TEST CLUB
NPI 1912610916
General Practice in Sheridan, WY

Q: What is Lab Test Club's NPI number?

The NPI number for Lab Test Club is 1912610916. It was assigned to this organization in the NPPES registry on January 4, 2023.

Q: What is Lab Test Club's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Lab Test Club was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 04, 2023

1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801(858) 255-4242 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2023, Jan 4, 2023 (2 updates tracked since 2023).

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About Lab Test Club NPPES

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

LAB TEST CLUB (NPI 1912610916) is a healthcare organization registered as a general practice in Sheridan, Wyoming and active in the NPI registry since January 2023. The organization lists Ben David, Chief Medical Director, as its authorized official.

NPPES Registry Identity

NPI1912610916

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameLAB TEST CLUB

Location Address1309 COFFEEN AVE STE 1200Sheridan, WY 82801-5777

Mailing Address1309 Coffeen Ave Ste 1200Sheridan, WY 82801-5777 · (858) 255-4242

Phone(858) 255-4242

Organization SubpartNo

Authorized OfficialBen DavidChief Medical Director · (858) 255-4242

Enumeration DateJanuary 4, 2023

Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration

NPPES CertifiedOctober 26, 2023

✔ NPI 1912610916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1309 COFFEEN AVE STE 1200, Sheridan, WY 82801

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

RED HAT THERAPY CO.

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