Provider Demographics
NPI:1255066809
Name:VENIMOBILE LABS
Entity type:Organization
Organization Name:VENIMOBILE LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSTON
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:410-421-7423
Mailing Address - Street 1:4801 BERRYHILL CIR APT 105
Mailing Address - Street 2:
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9184
Mailing Address - Country:US
Mailing Address - Phone:443-930-7720
Mailing Address - Fax:
Practice Address - Street 1:604 N CHESTER ST # 1032
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2303
Practice Address - Country:US
Practice Address - Phone:410-421-7423
Practice Address - Fax:410-630-5996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty