COMPLETE WELLNESS DIAGNOSTIC LAB, LLC – Health Service Clinic/Center, NPI 1013665355

COMPLETE WELLNESS DIAGNOSTIC LAB, LLC is a healthcare provider. based in Conyers, Georgia. specializing in Health Service Clinic/Center. The NPI Number for COMPLETE WELLNESS DIAGNOSTIC LAB, LLC is 1013665355

Main info

Organization
Name
COMPLETE WELLNESS DIAGNOSTIC LAB, LLC
NPI
1013665355
Phone
(678) 643-0885
Address
1514 RIVERBROOKE WAY NE
Authorized Official
CHARNIKA PORTER OWNER/ADMINISTRATOR
Enumeration Date
15 March 2022
Last Update Date
15 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for COMPLETE WELLNESS DIAGNOSTIC LAB, LLC

  • 1514 RIVERBROOKE WAY NE

    CONYERS, GA 300126624

    Phone: (678) 643-0885

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30012)

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Reviews

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Frequently asked questions

How is COMPLETE WELLNESS DIAGNOSTIC LAB, LLC identified in CMS data?
CMS-hosted NPPES data lists COMPLETE WELLNESS DIAGNOSTIC LAB, LLC with NPI 1013665355.
Can I rely on COMPLETE WELLNESS DIAGNOSTIC LAB, LLC being an active provider?
As of the registry snapshot, COMPLETE WELLNESS DIAGNOSTIC LAB, LLC is marked active.
What taxonomy line describes COMPLETE WELLNESS DIAGNOSTIC LAB, LLC?
For research purposes, treat COMPLETE WELLNESS DIAGNOSTIC LAB, LLC as Health Service Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
Where is COMPLETE WELLNESS DIAGNOSTIC LAB, LLC based?
COMPLETE WELLNESS DIAGNOSTIC LAB, LLC is tied to Conyers, Georgia in the data we show; additional addresses may exist on the full record.
Why does COMPLETE WELLNESS DIAGNOSTIC LAB, LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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