MED WELLNESS DIAGNOSTIC LLC
NPI 1245920099
Clinic/Center in Albany, NY

Active since May 15, 2023
54 STATE ST STE 804, ALBANY, NY 12207(833) 294-6969 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Med Wellness Diagnostic Llc NPPES

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

MED WELLNESS DIAGNOSTIC LLC (NPI 1245920099) is a healthcare organization registered as a clinic/center in Albany, New York and active in the NPI registry since May 2023. The organization lists Latisha Myrie, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245920099
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMED WELLNESS DIAGNOSTIC LLC
Location Address54 STATE ST STE 804Albany, NY 12207-2524
Mailing Address54 State St Ste 804Albany, NY 12207-2524 · (833) 294-6969
Organization SubpartNo
Authorized OfficialLatisha MyrieCeo · (833) 294-6969
Enumeration DateMay 15, 2023
NPPES CertifiedMay 12, 2023
NPI 1245920099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
54 STATE ST STE 804, Albany, NY 12207

Other Providers at the Same Location NPPES 4

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

Prosthetic/Orthotic Supplier
54 STATE ST STE 804
ALBANY, NY 12207
Counselor (Mental Health)
54 STATE ST STE 804
ALBANY, NY 12207
Nurse Practitioner (Psychiatric/Mental Health)
54 STATE ST STE 804
ALBANY, NY 12207
Community/Behavioral Health
54 STATE ST STE 804
ALBANY, NY 12207

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 Med Wellness Diagnostic LLC's NPI number?

The NPI number for Med Wellness Diagnostic LLC is 1245920099. It was assigned to this organization in the NPPES registry on May 15, 2023.

Where is Med Wellness Diagnostic LLC located?

Med Wellness Diagnostic LLC is located at 54 State St Ste 804, Albany, NY 12207. The listed phone number is (833) 294-6969.

What is Med Wellness Diagnostic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Med Wellness Diagnostic LLC was last updated on May 15, 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.