Organization
THE 360 PHLEBOTOMY LLC
Active
Organization
THE 360 PHLEBOTOMY LLC
Active
Other names
360 Onsite Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA D GORHAM (OWNER)
(317) 360-2421
Entity
Organization
Contact information
Practice address
5335 N TACOMA AVE, INDIANAPOLIS, IN 46220-3659
(317) 360-2421
Mailing address
11653 STOEPPELWERTH DR, INDIANAPOLIS, IN 46229-4244
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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