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Organization
STICK AND GO MOBILE LAB SERVICES
Active
Organization
STICK AND GO MOBILE LAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZMINE BROOKS CPT (TRAVEL PHLEBOTOMIST)
(708) 714-4935
Entity
Organization
Contact information
Practice address
2015 W WESTERN AVE, SOUTH BEND, IN 46619-3544
(800) 820-8210
Mailing address
137 S SHERIDAN ST, SOUTH BEND, IN 46619-1858
(708) 714-4935
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
NULL
246RP1900X
Phlebotomy Technician
—
—
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
302R00000X
Health Maintenance Organization
Primary
—
NULL
331L00000X
Blood Bank
—
NULL
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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