Organization
WELLLIFE LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE WILSON (MANAGER)
(281) 970-5900
Entity
Organization
Contact information
Practice address
19073 I 45 S STE 145, SHENANDOAH, TX 77385-8744
(281) 970-5900
Mailing address
9777 W GULF BANK RD, STE 5, HOUSTON, TX 77040-3132
(281) 970-5900
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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