| NPI | 1851068357 |
|---|---|
| Former Legal Business Name | VENI-PHLEB MED-TECH CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIA TUBBS Executive Director 260-217-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2023-05-22 |