LAB TEST CLUB
NPI 1912610916
General Practice in Sheridan, WY

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: July 19, 2026.

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

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
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

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.

Nurse Practitioner (Family)
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801
Clinic/Center (Podiatric)
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801
Durable Medical Equipment & Medical Supplies
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801
Nurse Practitioner (Psychiatric/Mental Health)
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801
Nurse Practitioner (Psychiatric/Mental Health)
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801
Clinic/Center (Primary Care)
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801
Clinic/Center (Mental Health (Including Community Mental Health Center))
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801
Nurse Practitioner (Psychiatric/Mental Health)
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912610916, enumerated as an "organization" on January 04, 2023.

The provider is located at 1309 COFFEEN AVE STE 1200 SHERIDAN, WY 82801 and the phone number is (858) 255-4242.

General Practice with taxonomy code 208D00000X.