Active NPI
Well Health Labs, LLC
- Clinical Medical Laboratory
- Stafford, TX
National Provider Identifier
1972117349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- WELL HEALTH LABS, LLC
- Practice address
- 3776 Greenbriar Dr
Stafford, TX 77477-3924 - Phone
- (346) 273-4500
- Fax
- (346) 275-1700
- NPI assigned
- Sep 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad Shoaib
- Title
- Owner
- Phone
- (346) 273-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3776 Greenbriar Dr
Stafford, TX 77477-3924
Mailing address
3776 Greenbriar Dr
Stafford, TX 77477-3924
Phone (346) 273-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201015001237 | TX | Part B Supplier - Independent Clinical Laboratory | 3072933928 | Practice locations: Stafford, TX |
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 |
|---|---|---|---|
| 45D2191023 | Well Health Labs | Accreditation | Mar 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
7557 South Fwy
Ste 7557
Houston, TX 77021
Phone (346) 273-4500
3776 Greenbriar Dr
Stafford, TX 77477
Phone (346) 273-4500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727222400000",
"number": "1972117349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3776 GREENBRIAR DR",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773924",
"telephone_number": "346-273-4500",
"fax_number": "346-275-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3776 GREENBRIAR DR",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773924",
"telephone_number": "346-273-4500",
"fax_number": "346-275-1700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL HEALTH LABS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-03",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A",
"authorized_official_last_name": "SHOAIB",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "346-273-4500"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.