| NPI | 1770224883 |
|---|---|
| Former Legal Business Name | LAB GIRLS TRAVELING PHLEBOTOMIST LLC |
| Entity Type | Organization |
| Authorized Contact | HELENA SIMMS Owner 708-553-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |