Healthcare Provider Details

I. General information

NPI: 1871497594
Provider Name (Legal Business Name): EVERWELL DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR STE 33940
AUSTIN TX
78731-4257
US

IV. Provider business mailing address

5900 BALCONES DR STE 33940
AUSTIN TX
78731-4257
US

V. Phone/Fax

Practice location:
  • Phone: 971-208-6800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNULL

VIII. Authorized Official

Name: ARTHUR ROBERT
Title or Position: MANAGER
Credential:
Phone: 971-208-6800