# STICK AND GO MOBILE LAB SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356148100
- **Authorized official:** JAZMINE BROOKS CPT (TRAVEL PHLEBOTOMIST)
- **Authorized official phone:** (708) 714-4935

## Contact information

- **Practice address:** 2015 W WESTERN AVE, SOUTH BEND, IN 46619-3544
- **Practice address phone:** (800) 820-8210
- **Mailing address:** 137 S SHERIDAN ST, SOUTH BEND, IN 46619-1858
- **Mailing address phone:** (708) 714-4935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 331L00000X | Blood Bank | — | NULL | — |

## Other

- **Enumeration date:** 02/28/2025
- **Last updated:** 02/28/2025