Organization Active NPI

Wellness Toxicology, LLC

  • Clinical Medical Laboratory
  • Farmers Branch, TX
National Provider Identifier
1396103065
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WELLNESS TOXICOLOGY, LLC
Practice address
2099 Valley View LN Ste 180
Farmers Branch, TX 75234-8920
Phone
(972) 366-0020
Fax
(972) 597-8782
NPI assigned
Feb 9, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mustapha Oulad-Chikh
Title
Ceo
Phone
(972) 366-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2099 Valley View LN Ste 180
Farmers Branch, TX 75234-8920

Mailing address

2099 Valley View LN Ste 180
Farmers Branch, TX 75234-8920
Phone (972) 366-0020

National Provider Directory

National Provider Directory

Locations

2099 Valley View Ln
Ste 180
Farmers Brnch, TX 75234
Phone (972) 366-0020

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396103065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 VALLEY VIEW LN STE 180",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752348920",
            "telephone_number": "972-366-0020",
            "fax_number": "972-597-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2099 VALLEY VIEW LN STE 180",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752348920",
            "telephone_number": "972-366-0020",
            "fax_number": "972-597-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS TOXICOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OULAD-CHIKH",
        "authorized_official_first_name": "MUSTAPHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-366-0020"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.