Organization
ESSENTIAL LIFE DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WILLENA MCCALLUM MCCALLUM (OWNER/CPT)
(937) 251-6446
Entity
Organization
Contact information
Practice address
7049 TAYLORSVILLE RD STE D2, HUBER HEIGHTS, OH 45424-3190
(937) 251-6446
(877) 552-1617
Mailing address
711 CLEVERLY RD, DAYTON, OH 45417-1210
(937) 301-9356
(877) 552-1617
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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