Organization Active NPI

Wellnow Urgent Care, P.C.

Doing business as WellNow Clinical Laboratory

  • Clinical Medical Laboratory
  • Syracuse, NY
National Provider Identifier
1992380547
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WELLNOW URGENT CARE, P.C.
Doing business as
WellNow Clinical Laboratory
Practice address
961 Canal St
Syracuse, NY 13210-1203
Phone
(315) 478-1977
Fax
(315) 428-9223
NPI assigned
Mar 16, 2021
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
WELLNOW URGENT CARE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Tracy Marie Sciolino
Title
Manager Payer Relations
Phone
(716) 699-9032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

961 Canal St
Syracuse, NY 13210-1203

Mailing address

PO Box 500
Ellicottville, NY 14731-0500
Phone (716) 699-9032

Other practice location 1

939 Route 146 Ste 520
Clifton Park, NY 12065-3662
Phone (518) 626-8645

Other names 1

  • WellNow Clinical Laboratory Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210514000147 NY Part B Supplier - Independent Clinical Laboratory 8325320864 Practice locations: Syracuse, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Ny Primary Care Practice PC

Locations

939 Route 146
Ste 520
Clifton Park, NY 12065
Phone (518) 626-8645

961 Canal St
Syracuse, NY 13210
Phone (315) 478-1977

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1992380547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "147310500",
            "telephone_number": "716-699-9032",
            "fax_number": "716-699-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 CANAL ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101203",
            "telephone_number": "315-478-1977",
            "fax_number": "315-428-9223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 Route 146 Ste 520",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120653662",
            "country_code": "US",
            "telephone_number": "518-626-8645",
            "fax_number": "518-626-8646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNOW URGENT CARE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLNOW URGENT CARE, P.C.",
        "enumeration_date": "2021-03-16",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "SCIOLINO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER PAYER RELATIONS",
        "authorized_official_telephone_number": "716-699-9032"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellNow Clinical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellNow Clinical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.