Provider Demographics
NPI:1245876085
Name:VENI-EXPRESS INC
Entity type:Organization
Organization Name:VENI-EXPRESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-745-1713
Mailing Address - Street 1:PO BOX 301438
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92030-1438
Mailing Address - Country:US
Mailing Address - Phone:760-745-1713
Mailing Address - Fax:877-626-2306
Practice Address - Street 1:200 W. MCDONALD ST.
Practice Address - Street 2:
Practice Address - City:BEATTY
Practice Address - State:NV
Practice Address - Zip Code:89003-0001
Practice Address - Country:US
Practice Address - Phone:760-745-1713
Practice Address - Fax:877-626-2306
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VENI-EXPRESS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-26
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory