MED WELLNESS DIAGNOSTIC LLC NPI 1245920099

NPI Information

  • NPI: 1245920099
  • Provider Name: MED WELLNESS DIAGNOSTIC LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 54 STATE ST STE 804
    ALBANY, NY
    ZIP 12207
  • Phone: (833) 294-6969

Map and Directions

Get Directions

NPI Details

MED WELLNESS DIAGNOSTIC LLC is a clinic center in Albany, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MED WELLNESS DIAGNOSTIC LLC NPI is 1245920099. The provider is registered as an organization entity type.

The provider's business location address is:

54 STATE ST STE 804
ALBANY, NY
ZIP 12207-524
Phone: (833) 294-6969

The provider's authorized official is Latisha Myrie .
The authorized official title is Ceo and has the following contact phone number (833) 294-6969.

The enumeration date for this NPI number is 5/15/2023 and was last updated on 5/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryNo
2261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI