Organization Active NPI

Wellcare Diagnsotics LLC

  • Clinical Medical Laboratory
  • Irving, TX
National Provider Identifier
1457219487
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WELLCARE DIAGNSOTICS LLC
Practice address
1300 W Walnut Hill LN Ste 195
Irving, TX 75038-3000
Phone
(469) 648-0456
NPI assigned
Jan 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Dr. Sivaramakrishna Yadavalli, PHD
Title
Lab Director
Phone
(469) 648-0456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1300 W Walnut Hill LN Ste 195
Irving, TX 75038-3000

Mailing address

1300 W Walnut Hill LN Ste 195
Irving, TX 75038-3000
Phone (469) 648-0456

National Provider Directory

National Provider Directory

Locations

1300 W Walnut Hill Ln
Ste 195
Irving, TX 75038
Phone (469) 648-0456

NPI Registry JSON

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1457219487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W WALNUT HILL LN STE 195",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383000",
            "telephone_number": "469-648-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W WALNUT HILL LN STE 195",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383000",
            "telephone_number": "469-648-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE DIAGNSOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "YADAVALLI",
        "authorized_official_first_name": "SIVARAMAKRISHNA",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "469-648-0456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.