Active NPI
Wellness Health Group, LLC
- Clinical Medical Laboratory
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- WELLNESS HEALTH GROUP, LLC
- Practice address
- 10900 N Scottsdale Rd Ste 105
Scottsdale, AZ 85254-5222 - Phone
- (918) 310-2200
- NPI assigned
- Jun 6, 2023
- Organization subpart
- Yes
- Parent organization
- WELLNESS HEALTH GROUP, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Loudermilk
- Title
- President & Managing Member
- Phone
- (918) 740-5093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
10900 N Scottsdale Rd Ste 105
Scottsdale, AZ 85254-5222
Mailing address
7780 E 106TH St
Tulsa, OK 74133-6843
Phone (918) 740-5093
Other practice location 1
7780 E 106th St Ste 205
Tulsa, OK 74133-6843
Phone (918) 310-2200
Other names 1
- Wellness Labs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231127002613 | AZ | Part B Supplier - Independent Clinical Laboratory | 2860745726 | Practice locations: Scottsdale, AZ |
| O20250417002324 | AZ | Part B Supplier - Independent Clinical Laboratory | 4688199052 | Practice locations: Scottsdale, AZ |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2087315 | Honorhealth Medical Group | Certificate of waiver | Nov 19, 2026 |
| 03D2277208 | Wellness Health Group LLC | Accreditation | Feb 17, 2027 |
National Provider Directory
National Provider Directory- Part of
- Wellness Health Group
Locations
10900 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85254
Phone (480) 992-3700
7780 E 106th St
Tulsa, OK 74133
3336 E 51st St
Tulsa, OK 74135
Phone (918) 770-7152
7780 E 106th St
Ste 205
Tulsa, OK 74133
Phone (918) 310-2200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783641600000",
"number": "1831883552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7780 E 106TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741336843",
"telephone_number": "918-740-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 N SCOTTSDALE RD STE 105",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852545222",
"telephone_number": "918-310-2200"
}
],
"practiceLocations": [
{
"address_1": "7780 E 106th St Ste 205",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741336843",
"country_code": "US",
"telephone_number": "918-310-2200",
"fax_number": "918-310-2201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WELLNESS HEALTH GROUP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WELLNESS HEALTH GROUP, LLC",
"enumeration_date": "2023-06-06",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A",
"authorized_official_last_name": "LOUDERMILK",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "PRESIDENT & MANAGING MEMBER",
"authorized_official_telephone_number": "918-740-5093"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wellness Labs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.