Provider Demographics
NPI:1275296667
Name:ONESTOP INSTITUTE, LLC
Entity Type:Organization
Organization Name:ONESTOP INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/INSTRUCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ILEANA
Authorized Official - Middle Name:IVELISSE
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-602-3085
Mailing Address - Street 1:465 S GRADY AVE
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33815-4017
Mailing Address - Country:US
Mailing Address - Phone:863-602-3085
Mailing Address - Fax:
Practice Address - Street 1:805 N MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-1747
Practice Address - Country:US
Practice Address - Phone:863-602-3085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty