OUTREACH MOBILE LAB, LLC – NPI #1700643764
Technician, Pathology

OUTREACH MOBILE LAB, LLC is a pathology technician located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1700643764 to OUTREACH MOBILE LAB, LLC on March 05, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 246RP1900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Phlebotomy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OUTREACH MOBILE LAB, LLC below.

NPI Profile for
OUTREACH MOBILE LAB, LLC

NPI Number
1700643764
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OUTREACH MOBILE LAB, LLC
Primary location
5901 WALSHAM WAY
INDIANAPOLIS, IN 46254
Phone: (317) 567-1293 Fax:
Mailing address
3250 A. WEST 86TH ST #1289
INDIANAPOLIS, IN 46268-3605
Phone: (317) 567-1293 Fax: (317) 981-3979
Organization Subpart
No
Authorized Official
DEMETRIA BUCKNER
MANAGER
Phone: (317) 567-1293
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246RP1900X
- Technician, Pathology / Phlebotomy (Primary)
174H00000X
- Health Educator
172V00000X
- Community Health Worker

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.