OrganizationWyoming Medical Center Clinical LabClinical Medical LaboratoryLaboratoriesPractice Address1233 E 2nd St, Casper, WY 82601-2926(307) 577-7201PECOS EnrollmentBased on the most recent information from CMS, provider Wyoming Medical Center Clinical Lab does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1700127040Provider TypeOrganizationFull NameWyoming Medical Center Clinical LabSubpartYesEnumeration Date3/12/2013Last Updated1/26/2022Contact InformationPractice LocationPractice Address1233 E 2nd St, Casper, WY 82601-2926Phone(307) 577-7201Fax(307) 577-7862Mailing LocationMailing Address2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameLaraway, Dennis (Cfo)Phone(602) 747-4000Provider TaxonomiesCodeDescriptionLicenseCode291U00000XPrimaryDescriptionClinical Medical LaboratoryLaboratoriesLicense53D0519997Wyoming