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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