Organization
WYOMING MEDICAL CENTER CLINICAL LAB
Active
Parent organization
WYOMING MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYOMING MEDICAL CENTER, INC.
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1233 E 2ND ST, CASPER, WY 82601-2926
(307) 577-7201
(307) 577-7862
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
53D0519997
WY
Other
Enumeration date
03/12/2013
Last updated
01/26/2022
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