Provider Demographics
NPI:1255082590
Name:WELL HEALTH LABS OF ALABAMA
Entity type:Organization
Organization Name:WELL HEALTH LABS OF ALABAMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSEINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-273-4500
Mailing Address - Street 1:715 SKYLAND BLVD E STE 2
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-4054
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:715 SKYLAND BLVD E STE 2
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-4054
Practice Address - Country:US
Practice Address - Phone:346-273-4500
Practice Address - Fax:346-275-1799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory