Provider Demographics
NPI:1770224883
Name:LAB GIRLS TRAVELING PHLEBOTOMIST LLC
Entity Type:Organization
Organization Name:LAB GIRLS TRAVELING PHLEBOTOMIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHLEBOTOMIST
Authorized Official - Phone:708-553-9007
Mailing Address - Street 1:16237 HONORE AVE
Mailing Address - Street 2:
Mailing Address - City:MARKHAM
Mailing Address - State:IL
Mailing Address - Zip Code:60428-5713
Mailing Address - Country:US
Mailing Address - Phone:888-332-2011
Mailing Address - Fax:
Practice Address - Street 1:3055 W 163RD ST STE 3
Practice Address - Street 2:
Practice Address - City:MARKHAM
Practice Address - State:IL
Practice Address - Zip Code:60428-5626
Practice Address - Country:US
Practice Address - Phone:888-332-2011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service