Provider Demographics
NPI:1083730493
Name:WELLNESS LABS, INC.
Entity Type:Organization
Organization Name:WELLNESS LABS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGAREJO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:727-459-0192
Mailing Address - Street 1:7072 BAYOU WEST AVE
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-4552
Mailing Address - Country:US
Mailing Address - Phone:727-459-0192
Mailing Address - Fax:727-545-0691
Practice Address - Street 1:7072 BAYOU WEST AVE
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-4552
Practice Address - Country:US
Practice Address - Phone:727-459-0192
Practice Address - Fax:727-545-0691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty