| NPI | 1558707794 |
|---|---|
| Doing Business As | AMERICAN WELLNESS LAB |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A WILSON Credentialing 409-923-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2016-10-07 |