WKLV Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WKLV LAB

Practice address

19073 I 45 S
Ste 145
Shenandoah, TX 77385-8743

Phone

(832) 457-5376

NPI assigned

May 26, 2015

Organization subpart

No

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

Authorized official

Name

Tingh Phan

Title

Ceo

Phone

(832) 457-5376

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1457730384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19073 I 45 S",
            "address_2": "STE 145",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858743",
            "telephone_number": "832-457-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19073 I 45 S",
            "address_2": "STE 145",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858743",
            "telephone_number": "832-457-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WKLV LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "TINGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-457-5376"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garret Lee Wilson, PT, DPT
• Leslie E Wilson, M.D.
• Welton Wayne Wilson, P.A.
• Tara Lyn Winkelmann, M.D.
• Abraham Winkelstein
• Kelli Reynolds Wohlgemuth, FNP
• Women'S Healthcare Affiliates, P. a.
• Womens Centre for Well Being PA
• Chun-Kwok Wong, MD
• Marcus Wong, MD

• 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 May 26, 2015; 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.