SB Wellness Group

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

19D0991695 Issued in LA

Legal business name

SB WELLNESS GROUP

Practice address

520 Shady Lake Pkwy
Baton Rouge, LA 70810-4324

Phone

(225) 445-5814

NPI assigned

Apr 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shelly Beall

Title

Owner/President

Phone

(225) 445-5814

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1023540465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SHADY LAKE PKWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708104324",
            "telephone_number": "225-445-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SHADY LAKE PKWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708104324",
            "telephone_number": "225-445-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "BEALL",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "225-445-5814"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "19D0991695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinical Medical Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.