Outreach Mobile Lab, Llc

LBN: Outreach Mobile Lab, Llc
Outreach Mobile Lab, Llc is an health care organization with primary practice located at 5901 Walsham Way , Indianapolis IN 46254. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Health Educator, Technologists, Technicians & Other Technical Service Providers / Phlebotomy. Technologists, Technicians & Other Technical Service Providers / Phlebotomy is the primary health care specialty. Outreach Mobile Lab, Llc can be contacted via phone (317) 567-1293, or through Buckner, Demetria via phone (317) 567-1293.

Contact Information

Primary practice address
5901 Walsham Way Indianapolis IN 46254
Phone: (317) 567-1293
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buckner, Demetria Master of Arts (MA)
Phone: (317) 567-1293

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Health Educator 174H00000X
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X

Profile Details

NPI number 1700643764
LBN Legal business name Outreach Mobile Lab, Llc
DBA Doing business as
Authorized official Buckner, Demetria Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2024
Last updated Mar 5th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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