Organization
JAMES J NARAMORE
Active
Other names
Medical Arts Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD WOLF (PRACTICE ADMINISTRATOR)
(307) 670-0740
Entity
Organization
Contact information
Practice address
407 S MEDICAL ARTS COURT, SUITE E, GILLETTE, WY 82716-3372
(307) 682-1234
(307) 686-6167
Mailing address
407 S MEDICAL ARTS COURT, SUITE E, GILLETTE, WY 82716-3372
(307) 682-1234
(307) 686-6167
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
53D0520056
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117468100
—
WY
01
—
53D0520056
CLIA
WY
Enumeration date
10/05/2006
Last updated
01/27/2015
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