COMPLETE WELLNESS DIAGNOSTIC LAB, LLC
NPI 1013665355
Clinic/Center - Health Service in Conyers, GA

Active since March 15, 2022
1514 RIVERBROOKE WAY NE, CONYERS, GA 30012(678) 643-0885 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Complete Wellness Diagnostic Lab, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPLETE WELLNESS DIAGNOSTIC LAB, LLC (NPI 1013665355) is a healthcare organization registered as a health service in Conyers, Georgia and active in the NPI registry since March 2022. The organization lists Charnika Porter, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1013665355
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCOMPLETE WELLNESS DIAGNOSTIC LAB, LLC
Location Address1514 RIVERBROOKE WAY NEConyers, GA 30012-6624
Mailing Address1514 Riverbrooke Way NeConyers, GA 30012-6624 · (678) 643-0885
Organization SubpartNo
Authorized OfficialCharnika PorterOwner/administrator · (678) 643-0885
Enumeration DateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
NPI 1013665355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1514 RIVERBROOKE WAY NE, Conyers, GA 30012

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1514 RIVERBROOKE WAY NE
CONYERS, GA 30012
In Home Supportive Care
1514 RIVERBROOKE WAY NE
CONYERS, GA 30012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Complete Wellness Diagnostic Lab, LLC's NPI number?

The NPI number for Complete Wellness Diagnostic Lab, LLC is 1013665355. It was assigned to this organization in the NPPES registry on March 15, 2022.

Where is Complete Wellness Diagnostic Lab, LLC located?

Complete Wellness Diagnostic Lab, LLC is located at 1514 Riverbrooke Way NE, Conyers, GA 30012. The listed phone number is (678) 643-0885.

What is Complete Wellness Diagnostic Lab, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Complete Wellness Diagnostic Lab, LLC was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.