Provider Demographics
NPI:1821749896
Name:WELL HEALTH LABS TX, LLC
Entity Type:Organization
Organization Name:WELL HEALTH LABS TX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHOAIB
Authorized Official - Middle Name:
Authorized Official - Last Name:POCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-273-4500
Mailing Address - Street 1:350 WESTPARK WAY STE 100B
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-3964
Mailing Address - Country:US
Mailing Address - Phone:346-273-4500
Mailing Address - Fax:346-275-1700
Practice Address - Street 1:350 WESTPARK WAY STE 100B
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-3964
Practice Address - Country:US
Practice Address - Phone:346-273-4500
Practice Address - Fax:346-275-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory