SYNERGIST LABORATORIES, LLC (NPI# 1285153593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285153593 |
| Entity Type | Organization |
| Organization Name | SYNERGIST LABORATORIES, LLC |
| Practice Address |
1910 Thomes Ave Cheyenne WY 82001-3527 |
| Mailing Address |
4580 Klahanie Dr Se Issaquah WA 98029-5812 |
| Practice Telephone | 3072012610 |
| Mailing Telephone | 4258906239 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2018-03-22 |
| Authorized Official Name | MATTHEW WAVRA (PARTNER) |
| Authorized Official Telephone | 3072012610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2472E0500X |
Technician, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Synergist Laboratories, LLC | 6380 Corporate Centre Circle, Ste 250, Colorado Springs, CO 80919 |
| Street Address |
1910 THOMES AVE |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104330877 | Synergist Monitoring Pro LLC | Electrodiagnostic Medicine | 1910 Thomes Ave, Cheyenne, WY 82001 | 2017-11-16 |
| 1487167052 | Creekside Medical LLC | Electrodiagnostic Medicine | 1910 Thomes Ave, Cheyenne, WY 82001-3527 | 2017-11-06 |
| 1457864027 | Synergist Monitoring LLC | Specialist/Technologist, Other | 1910 Thomes Ave, Cheyenne, WY 82001 | 2017-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568706117 | Uinta Home Sleep Testing | Physiological Laboratory | 724 Front St, Suite 523, Evanston, WY 82930-3589 | 2012-11-20 |
| 1093060121 | Wayne A Bell | Physiological Laboratory | 724 Front St, Suite 523, Evanston, WY 82930-3589 | 2012-07-15 |
| 1649556838 | Black Rock Advanced Medical Imaging | Physiological Laboratory | 620 4j Ct, Unit C, Gillette, WY 82716-4130 | 2011-11-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.