Mybody Wellness Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MYBODY WELLNESS LABORATORY

Doing business as

MyBody Beauty and Wellness

Practice address

3480 Fannin St Ste H
Beaumont, TX 77701-3804

Phone

(409) 242-0886

Fax

(409) 245-7586

NPI assigned

Apr 8, 2025

Organization subpart

No

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

Authorized official

Name

Zandra Walker, CCMA

Title

Lab Director

Phone

(409) 242-0886

Specialties & licenses 1

Addresses

Other names 1

• MyBody Beauty and Wellness Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1497549935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 FANNIN ST STE H",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013804",
            "telephone_number": "409-242-0886",
            "fax_number": "409-245-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 FANNIN ST STE H",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013804",
            "telephone_number": "409-242-0886",
            "fax_number": "409-245-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYBODY WELLNESS LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ZANDRA",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "409-242-0886",
        "authorized_official_credential": "CCMA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyBody Beauty and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rina Musa, M.D.
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• Sudha Muthuraju, D.M.D.
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• MW Medical EMS, LP
• Terry W Myrick, MD
• N&N Pain & Injury Clinic, PA
• Orlen Nabors
• Shereen Naccour, MD
• Jocelyn Nackley

• Clinical Medical Laboratory in Beaumont, TX
• Providers in Beaumont, 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 Apr 16, 2025; 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.