MR. BILLY BURKE STANGE


Address: 125 Dillon Dr Apt 104, Lander, WY 82520-2938
Phone: 5759375752

MR. BILLY BURKE STANGE (NPI# 1902137862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902137862
Entity Type Individual
Full Name MR. BILLY BURKE STANGE
Credential MLT
Practice Address 125 Dillon Dr Apt 104
Lander
WY 82520-2938
Practice Telephone 5759375752
Mailing Telephone 5759375752
Enumeration Date 2010-01-15
Last Update Date 2010-01-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 93339 NM Laboratories

Office Location

Street Address 125 DILLON DR APT 104
City LANDER
State WY
Zip Code 82520-2938

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1649640368 Melinda Kay Cox Day Training, Developmentally Disabled Services 382 Washakie, Lander, WY 82520 2015-10-07
1942602677 Carmen Champlin Registered Nurse 397 S 5th, Lander, WY 82520 2014-09-25
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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1952739633 Wyoming Public Health Laboratory Clinical Medical Laboratory 208 S College Dr, Cheyenne, WY 82007-2600 2013-10-16
1326354333 Ninak Inc Clinical Medical Laboratory 1916 Evans Ave, Cheyenne, WY 82001-3716 2010-08-27
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Competitor

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City LANDER
Zip Code 82520

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Dataset Information

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.

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