Provider Demographics
NPI:1205435989
Name:WELLNESS CHECK LLC
Entity type:Organization
Organization Name:WELLNESS CHECK LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MAHMOODUL
Authorized Official - Middle Name:HASAN
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-924-2299
Mailing Address - Street 1:18173 PIONEER BLVD STE K
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-3988
Mailing Address - Country:US
Mailing Address - Phone:562-924-2299
Mailing Address - Fax:562-924-7800
Practice Address - Street 1:18173 PIONEER BLVD STE K
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-3988
Practice Address - Country:US
Practice Address - Phone:562-924-2299
Practice Address - Fax:562-924-7830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory