1407921315 NPI number — CARTERSVILLE WELLNESS DIAGNOSTICS

Table of content: (NPI 1407921315)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407921315 NPI number — CARTERSVILLE WELLNESS DIAGNOSTICS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARTERSVILLE WELLNESS DIAGNOSTICS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407921315
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12 E GREENWAY PLZ
Provider Second Line Business Mailing Address:
STE 700
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77046-1203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-381-8838
Provider Business Mailing Address Fax Number:
866-241-8647

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
31 POINTE NORTH DR
Provider Second Line Business Practice Location Address:
STE 105
Provider Business Practice Location Address City Name:
CARTERSVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-607-1840
Provider Business Practice Location Address Fax Number:
706-607-8142
Provider Enumeration Date:
11/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ARENSCHIELD
Authorized Official First Name:
PAIGE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
281-381-8838

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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