OrganizationActive
Innovative Nutrition Solutions, LLC
NPI 1003824079 · Clinical Medical Laboratory · Madison, WI
Provider details
- NPI number
- 1003824079
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Karyn Moehring, Clinical Nutrition Therapist(608) 836-3473
- License
- 1680-029 (WI)
Specialties & taxonomies
Laboratories
Dietary & Nutritional Service Providers
Practice location
414 Donofrio Dr
Suite 120
Madison, WI 53719-2847
Phone: (608) 836-3473
Fax: (608) 831-5319
Approximate (ZIP-level) locationGet directions
Mailing address
414 Donofrio Dr
Madison, WI 53719-2847
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.