Provider Demographics
NPI:1477394369
Name:VERIFIED & VETTED COMPREHENSIVE TESTING AND SCREENING SOLUTIONS
Entity type:Organization
Organization Name:VERIFIED & VETTED COMPREHENSIVE TESTING AND SCREENING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:463-206-9070
Mailing Address - Street 1:5450 LAFAYETTE RD STE 7
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-1655
Mailing Address - Country:US
Mailing Address - Phone:463-206-9070
Mailing Address - Fax:872-266-4374
Practice Address - Street 1:5450 LAFAYETTE RD STE 7
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-1655
Practice Address - Country:US
Practice Address - Phone:463-206-9070
Practice Address - Fax:872-266-4374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center