Organization
VENI-PHLEB ELITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIA B TUBBS CCMA (CEO)
(260) 217-3187
Entity
Organization
Contact information
Practice address
3229 W 52ND ST, INDIANAPOLIS, IN 46228-2114
(260) 217-3187
Mailing address
3229 W 52ND ST, INDIANAPOLIS, IN 46228-2114
(317) 548-9074
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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