Indeed Wellness, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

33D2071872 Issued in NY

Legal business name

INDEED WELLNESS, LLC

Practice address

240 W Seneca St
Suite 8
Manlius, NY 13104-3401

Phone

(315) 415-7739

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

Bret A Johnson

Title

President

Phone

(315) 415-7739

Specialties & licenses 1

Addresses

Other names 1

• inDeed Wellness Doing business as

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1831598895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W SENECA ST",
            "address_2": "SUITE 8",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131043401",
            "telephone_number": "315-415-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W SENECA ST",
            "address_2": "SUITE 8",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131043401",
            "telephone_number": "315-415-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEED WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-415-7739"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D2071872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "inDeed Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane Macguffie Hudson, M.D.
• Kaelyn Hughes
• Lawrence B Hurwitz, MD
• Kaitlyn Elizabeth Huysman, RPA-C
• Immediate Medical Care of Cny, PC
• J. Christopher Stringer, MD PLLC
• Mary J Jackson, MD
• Sandra Renee Jackson, PT, DPT, CHT
• Jason D. Henderson, DDS PC
• Jean Howard

• Clinical Medical Laboratory in Manlius, NY
• Providers in Manlius, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.