Provider Demographics
NPI:1316402993
Name:WP LABORATORIES, LLC
Entity Type:Organization
Organization Name:WP LABORATORIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-345-7770
Mailing Address - Street 1:PO BOX 76
Mailing Address - Street 2:
Mailing Address - City:MC COOK
Mailing Address - State:NE
Mailing Address - Zip Code:69001-0076
Mailing Address - Country:US
Mailing Address - Phone:308-345-7770
Mailing Address - Fax:308-345-1975
Practice Address - Street 1:106 W 3RD ST
Practice Address - Street 2:
Practice Address - City:MC COOK
Practice Address - State:NE
Practice Address - Zip Code:69001-3645
Practice Address - Country:US
Practice Address - Phone:308-345-7770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory