Organization
SPRINGLEAF HEALTH MEDICAL, LP
Active
Other names
American Wellness Lab
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A WILSON (CREDENTIALING)
(409) 923-0012
Entity
Organization
Contact information
Practice address
6310 DELAWARE ST, BEAUMONT, TX 77706-7646
(409) 923-0012
Mailing address
PO BOX 20061, BEAUMONT, TX 77720-0061
(409) 923-0012
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
10/07/2016
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