Organization
VITALITY TRAVELING LABORATORY LLC
Active
Organization
VITALITY TRAVELING LABORATORY LLC
Active
Other names
Vitality Traveling Laboratory LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RACHELE' JACQUES M.A, PHLEBOTOMIST (PHLEBOTOMIST, OWNER)
(219) 742-5233
Entity
Organization
Contact information
Practice address
1 E ERIE ST STE 525-4357, CHICAGO, IL 60611-2740
(773) 226-2149
(219) 803-2124
Mailing address
1 E ERIE ST STE 525-4357, CHICAGO, IL 60611-2740
(773) 226-2149
(219) 803-2124
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
06/17/2025
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