Med Wellness Diagnostic Llc | |
54 State St Ste 804 Albany NY 12207-2524 | |
(833) 294-6969 | |
Not Available |
Full Name | Med Wellness Diagnostic Llc |
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Speciality | Clinic/center |
Location | 54 State St Ste 804, Albany, New York |
Authorized Official Name and Position | Latisha Myrie (CEO) |
Authorized Official Contact | 8332946969 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Med Wellness Diagnostic Llc 54 State St Ste 804 Albany NY 12207-2524 Ph: (833) 294-6969 | Med Wellness Diagnostic Llc 54 State St Ste 804 Albany NY 12207-2524 Ph: (833) 294-6969 |
NPI Number | 1245920099 |
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Provider Enumeration Date | 05/15/2023 |
Last Update Date | 05/15/2023 |
Identifier | Type | State | Issuer |
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1245920099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
Memorial Hospital, Albany, N.y. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Shaker Rd Ste G02, Albany, NY 12204 Phone: 518-449-5352 |