Organization
VIP EXPRESS LAB LLC
Active
Other names
Service mobile phlebotomy
Organization subpart
No
Provider details
NPI number
Authorized official
CATINA RADFORD (OWNER/OPERATOR)
(219) 789-5759
Entity
Organization
Contact information
Practice address
1201 LAPORTE AVE APT 4220, VALPARAISO, IN 46383-6160
(219) 713-0047
Mailing address
1201 LAPORTE AVE APT 4220, VALPARAISO, IN 46383-6160
(219) 713-0047
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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