WELLNESS DIAGNOSTICS
NPI 1972874303
Clinic/Center - Ambulatory Surgical in South Lake Tahoe, CA

Active since January 17, 2012
854 EMERALD BAY RD STE C, SOUTH LAKE TAHOE, CA 96150(530) 544-2020 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wellness Diagnostics NPPES

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

WELLNESS DIAGNOSTICS (NPI 1972874303) is a healthcare organization registered as an ambulatory surgical in South Lake Tahoe, California and active in the NPI registry since January 2012. The organization lists David Smith, Cfo, as its authorized official.

NPPES Registry Identity

NPI1972874303
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWELLNESS DIAGNOSTICS
Location Address854 EMERALD BAY RD STE CSouth Lake Tahoe, CA 96150-6438
Mailing Address854 Emerald Bay Rd Ste CSouth Lake Tahoe, CA 96150-6438 · (530) 544-2020
Organization SubpartNo
Authorized OfficialDavid SmithCfo · (904) 791-6471
Enumeration DateJanuary 17, 2012
NPI 1972874303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in CA · K11111
854 EMERALD BAY RD STE C, South Lake Tahoe, CA 96150

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 Wellness Diagnostics's NPI number?

The NPI number for Wellness Diagnostics is 1972874303. It was assigned to this organization in the NPPES registry on January 17, 2012.

Where is Wellness Diagnostics located?

Wellness Diagnostics is located at 854 Emerald Bay Rd Ste C, South Lake Tahoe, CA 96150. The listed phone number is (530) 544-2020.

What is Wellness Diagnostics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Wellness Diagnostics was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.