Med Wellness Diagnostic LLC

NPI #1245920099 in Albany, New York

Provider Information

NPI Number: 1245920099
Entity Type: Organization
Organization Name: Med Wellness Diagnostic LLC
Primary Specialty: Clinic/Center
Enumeration Date: May 15, 2023
Last Updated: May 15, 2023

Practice Location

Address: 54 STATE ST STE 804
City: Albany
State: New York
ZIP Code: 12207-2524
Phone: (833) 294-6969

Authorized Official

Name: LATISHA MYRIE
Title: CEO
Phone: (833) 294-6969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Medical Laboratory	291U00000X
Clinic/Center	261Q00000X	Primary

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