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MW WELLNESS VENTURES I, LLC
NPI 1023511763
Family Medicine in Londonderry, NH

Active since March 08, 2018CLIA Certified · 2 labs
24 ORCHARD VIEW DR STE 2, LONDONDERRY, NH 03053(813) 228-6334 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2023, Dec 29, 2022, Mar 8, 2018 (3 updates tracked since 2018).

About Mw Wellness Ventures I, Llc NPPES

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

MW WELLNESS VENTURES I, LLC (NPI 1023511763) is a healthcare organization registered as a family medicine in Londonderry, New Hampshire and active in the NPI registry since March 2018. The organization holds 2 active CLIA laboratory certificates and lists Jodi Despoy, Manager, as its authorized official.

NPPES Registry Identity

NPI1023511763
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMW WELLNESS VENTURES I, LLC
Location Address24 ORCHARD VIEW DR STE 2Londonderry, NH 03053-3376
Mailing Address509 S Hyde Park AveTampa, FL 33606-2266 · (813) 228-6334
Phone(813) 228-6334
Organization SubpartNo
Authorized OfficialJodi DespoyManager · (813) 228-6334
Enumeration DateMarch 8, 2018
Last NPPES UpdateMarch 30, 20233 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1023511763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
24 ORCHARD VIEW DR STE 2, Londonderry, NH 03053
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2158180

Mw Wellness Ventures I, LLC · Londonderry, NH
Active · expires Nov 20, 2026
CLIA Number30D2158180
Laboratory TypePractitioner Other
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorJana Goich
Laboratory Phone(603) 782-9081
Laboratory LocationMw Wellness Ventures I, LLC24 Orchard View Dr, Ste 2, Londonderry, NH 03053
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D2247141

Mw Wellness Xv, LLC · Brookfield, CT
Active · expires Jan 3, 2028
CLIA Number07D2247141
Laboratory TypeMedical Weight Loss
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorCraig Huttler
Laboratory Phone(813) 228-6334
Laboratory LocationMw Wellness Xv, LLC67 Federal Rd, Bldg B, Ste 100, Brookfield, CT 06804
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MEAGAN LAFAUCI APRN
Nurse Practitioner
24 ORCHARD VIEW DR STE 2
LONDONDERRY, NH 03053
Rockingham County (603) 782-9081
EMMA NOBLE APRN, FNP-BC
Nurse Practitioner (Family)
24 ORCHARD VIEW DR STE 2
LONDONDERRY, NH 03053
Rockingham County (603) 782-9081
JORDAN PEREZ FNP
Nurse Practitioner (Family)
24 ORCHARD VIEW DR STE 2
LONDONDERRY, NH 03053
Rockingham County (603) 782-9081

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 Mw Wellness Ventures I, LLC's NPI number?

The NPI number for Mw Wellness Ventures I, LLC is 1023511763. It was assigned to this organization in the NPPES registry on March 8, 2018.

Where is Mw Wellness Ventures I, LLC located?

Mw Wellness Ventures I, LLC is located at 24 Orchard View Dr Ste 2, Londonderry, NH 03053. The listed phone number is (813) 228-6334.

What is Mw Wellness Ventures I, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mw Wellness Ventures I, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mw Wellness Ventures I, LLC was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.