WELLNESS DIAGNOSTICS
NPI 1972874303
Clinic/Center - Ambulatory Surgical in South Lake Tahoe, CA
- Organization
- Clinic/Center
- Ambulatory Surgical
About WELLNESS DIAGNOSTICS
This page provides the complete NPI Profile along with additional information for Wellness Diagnostics, a provider established in South Lake Tahoe, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1972874303 assigned on January 2012. The practitioner's primary taxonomy code is 261QA1903X with license number K11111 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is David Smith (Cfo)
- NPI
- 1972874303 Verify this NPI
- Provider Name
- WELLNESS DIAGNOSTICS
- Entity Type
- Organization
- Location Address
- 854 EMERALD BAY RD STE C SOUTH LAKE TAHOE, CA 96150
- Location Phone
- (530) 544-2020
- Mailing Address
- 854 EMERALD BAY RD STE C SOUTH LAKE TAHOE, CA 96150
- Mailing Phone
- (530) 544-2020
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-17-2012
- Last Update Date
- 01-17-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- K11111
- License State
- CA
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972874303, enumerated as an "organization" on January 17, 2012.
The provider is located at 854 EMERALD BAY RD STE C SOUTH LAKE TAHOE, CA 96150 and the phone number is (530) 544-2020.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
