Innovative Nutrition Solutions, Llc is a 
Clinical Medical Laboratory based in Madison, Wisconsin. Innovative Nutrition Solutions, Llc is licensed to practice in Wisconsin (license number ) and their current practice location is 
414 Donofrio Dr, Suite 120, Madison, Wisconsin. It can be reached at their office (for appointments etc.) via phone at 
(608) 836-3473.
NPI number for Innovative Nutrition Solutions, Llc is 1003824079 and their current mailing address is 414 Donofrio Dr, Suite 120, Madison, Wisconsin. Innovative Nutrition Solutions, Llc 
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1003824079.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Innovative Nutrition Solutions, Llc | 
|---|
| Type | Facility | 
|---|
| Speciality | Clinical Medical Laboratory | 
|---|
| Location | 414 Donofrio Dr, Madison, Wisconsin | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1003824079
 - Provider Enumeration Date: 08/04/2006
 - Last Update Date: 09/11/2025
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Innovative Nutrition Solutions, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1003824079 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 133V00000X | Dietitian, Registered  | 1680-029 (Wisconsin) | Secondary | 
| 291U00000X | Clinical Medical Laboratory  |  (Wisconsin) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Innovative Nutrition Solutions, Llc is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Innovative Nutrition Solutions, Llc 414 Donofrio Dr, Suite 120, Madison, WI 53719-2847 Ph: (608) 836-3473 | Innovative Nutrition Solutions, Llc 414 Donofrio Dr, Suite 120, Madison, WI 53719-2847 Ph: (608) 836-3473 | 
		
		 
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