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CORE WELLNESS CENTERS LLC
NPI 1215752670
Internal Medicine - Addiction Medicine in Philadelphia, PA

Active since November 20, 2024CLIA 39D2317523 · Waiver
2952 KENSINGTON AVE, PHILADELPHIA, PA 19134(215) 432-7396 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2025, Nov 20, 2024 (2 updates tracked since 2024).

About Core Wellness Centers Llc NPPES

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

CORE WELLNESS CENTERS LLC (NPI 1215752670) is a healthcare organization registered as an addiction medicine in Philadelphia, Pennsylvania and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Duane Lassiter, Member, as its authorized official.

NPPES Registry Identity

NPI1215752670
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameCORE WELLNESS CENTERS LLC
Location Address2952 KENSINGTON AVEPhiladelphia, PA 19134-3017
Mailing Address1515 Market St Ste 1200Philadelphia, PA 19102-1932 · (215) 419-5842
Phone(215) 432-7396
Organization SubpartNo
Authorized OfficialDuane LassiterMember · (215) 432-7396
Enumeration DateNovember 20, 2024
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1215752670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

2952 KENSINGTON AVE, Philadelphia, PA 19134
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Other Names 1

Doing Business AsCore Wellness Centers Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 39D2317523

Core Wellness Centers LLC · Philadelphia, PA
Active · expires Jan 26, 2027
CLIA Number39D2317523
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorDr. Anika D. Vaughn-Cooke
Laboratory Phone(215) 852-5016
Laboratory LocationCore Wellness Centers LLC2952 Kensington Ave, Philadelphia, PA 19134
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is CORE WELLNESS CENTERS LLC's NPI number?

The NPI number assigned to this healthcare provider is 1215752670, enumerated as an "organization" on November 20, 2024.

Where is the provider located?

The provider is located at 2952 KENSINGTON AVE PHILADELPHIA, PA 19134 and the phone number is (215) 432-7396.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.