Organization Active NPI

Lablife Phlebotomy Services, LLC

  • Clinical Medical Laboratory
  • Gary, IN
National Provider Identifier
1174387351
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABLIFE PHLEBOTOMY SERVICES, LLC
Doing business as
Lablife Phlebotomy Services, LLC
Practice address
607 S Lake St Ste D1
Gary, IN 46403-2396
Phone
(219) 285-1522
Fax
(219) 769-7425
NPI assigned
Feb 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chaneen Mosley, RMA,RPT,PBT,CPINPI 1609598275
Title
Chief Executive
Phone
(219) 285-1522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

607 S Lake St Ste D1
Gary, IN 46403-2396

Mailing address

607 S Lake St Ste D1
Gary, IN 46403-2396
Phone (219) 285-1522

Other names 1

  • LABLIFE PHLEBOTOMY SERVICES, LLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2278479Lablife Phlebotomy Services, LLC607 S Lake Street Unit D 1, Gary, IN 46403Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory

Locations

607 S Lake St
Ste D1
Gary, IN 46403
Phone (219) 285-1522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1174387351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S LAKE ST STE D1",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032396",
            "telephone_number": "219-285-1522",
            "fax_number": "219-769-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S LAKE ST STE D1",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032396",
            "telephone_number": "219-285-1522",
            "fax_number": "219-769-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABLIFE PHLEBOTOMY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "CHANEEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "219-285-1522",
        "authorized_official_credential": "RMA,RPT,PBT,CPI"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABLIFE PHLEBOTOMY SERVICES, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.