Provider Demographics
NPI:1235683509
Name:WELLNESS CORPORATE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:WELLNESS CORPORATE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FIONA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GATHRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-229-7555
Mailing Address - Street 1:7617 ARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-6129
Mailing Address - Country:US
Mailing Address - Phone:301-229-7555
Mailing Address - Fax:
Practice Address - Street 1:7617 ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6129
Practice Address - Country:US
Practice Address - Phone:301-229-7555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory