Organization
TEST WELL, LLC
Active
Other names
Test Well
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BOLDWYN (MANAGING MEMBER)
(530) 427-4163
Entity
Organization
Contact information
Practice address
1233 SKI RUN BLVD # 4, SOUTH LAKE TAHOE, CA 96150-7495
(530) 556-4226
Mailing address
5325 ELKHORN BLVD # 7081, SACRAMENTO, CA 95842-2526
(530) 556-4226
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/12/2021
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