Complete Wellness Diagnostic Lab, LLC
Complete Wellness Diagnostic Lab, LLC is a healthcare organization registered as Health Service Clinic/Center in Conyers, GA, holding Type 2 (organization) NPI 1013665355 since 2022. The authorized official on file is Charnika Porter, Owner/Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013665355 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Complete Wellness Diagnostic Lab, LLC |
| Practice address | 1514 RIVERBROOKE WAY NE, Conyers, GA, 30012 |
| Phone | 6786430885 |
| Enumeration date | 2022-03-15 |
| Last updated in NPPES | 2022-03-15 |
Authorized official
| Name | Charnika Porter |
|---|---|
| Title | Owner/Administrator |
| Phone | 6786430885 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QH0100X | Health Service Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Complete Wellness Diagnostic Lab, LLC NPI: 1013665355 Taxonomy: 261QH0100X (Health Service Clinic/Center) Address: 1514 RIVERBROOKE WAY NE, Conyers, GA, 30012
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407446164 | Complete Wellness Healthcare Services, LLC | Organization | In Home Supportive Care Agency | Conyers, GA |
| 1104668193 | Charnika Porter | Individual | Behavior Technician | Conyers, GA |
Verify this record
Cross-check NPI 1013665355 against the authoritative CMS record: view Complete Wellness Diagnostic Lab, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Complete Wellness Diagnostic Lab, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-03-15.