Sringleaf Medical, LTD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SRINGLEAF MEDICAL, LTD

Doing business as

American Wellness Lab

Practice address

6310 Delaware St
Beaumont, TX 77706-7646

Phone

(409) 923-0012

NPI assigned

Oct 27, 2005

Last updated

Aug 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Ann Wilson

Title

Ceo

Phone

(409) 923-0012

Specialties & licenses 1

Addresses

Other names 1

• American Wellness Lab Doing business as

Locations

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1598755738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20061",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777200061",
            "telephone_number": "409-923-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 DELAWARE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067646",
            "telephone_number": "409-923-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRINGLEAF MEDICAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-923-0012",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Wellness Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Springleaf Health Medical, LP (American Wellness Lab)
• Maxie C Sprott II, M.D.
• Vida Riston Sprott, APRN, CNM, FNP
• Toben Richard Squires, PTA
• Sakuntalai Srinanthakumar, M.D.
• Sriya Desilva
• SS Powers Dental, P.a. (The Smile Center)
• SSC Beaumont Green Acres Operating Company LLC (Pine Forest Nursing and Rehabilitation Center)
• Pamela Ann St Amand, MD
• St Elizabeth Rehab Partners, LLP (Kate Dishman Rehabilitation Hospital)

• 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 Aug 11, 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.