Organization
OPTIONS LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN W WAGNER (VICE PRESIDENT)
(920) 882-1646
Entity
Organization
Contact information
Practice address
4000 W SPENCER ST, APPLETON, WI 54914-4015
(920) 882-1646
(920) 882-1647
Mailing address
PO BOX 179, APPLETON, WI 54912-0179
(920) 659-8977
(920) 882-1647
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016778
—
WI
Enumeration date
12/09/2008
Last updated
04/09/2026
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