Welllife Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WELLLIFE LABS LLC

Practice address

19073 I 45 S Ste 145
Shenandoah, TX 77385-8744

Phone

(281) 970-5900

NPI assigned

Jul 21, 2016

Organization subpart

No

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

Authorized official

Name

Wayne Wilson

Title

Manager

Phone

(281) 970-5900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1316390768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 W GULF BANK RD",
            "address_2": "STE 5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770403132",
            "telephone_number": "281-970-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19073 I 45 S STE 145",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858744",
            "telephone_number": "281-970-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLLIFE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-970-5900"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Warfel, MS
• China Watts, APRN
• Lauren D'Angelo Weaver, MD
• Laurie Kathryn Weeks, NP-C
• Ryan Daniel Wellhoefer, M.C., LPC, NCC
• Holly Westmoreland
• Julie K Wheeler, AUD, CCC-A
• Thomas Sumner White, M.D.
• Brianna Whitener, PA-C
• Brooke Whitley, MA, LPC, NCC

• Clinical Medical Laboratory in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.