| NPI | 1548816135 |
|---|---|
| Former Legal Business Name | VITAL IMAGE PHLEBOTOMY |
| Entity Type | Organization |
| Authorized Contact | TANYA A STOVALL Manager 800-645-9829 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2019-08-11 |
| Last Update Date | 2020-01-30 |