V&L Mobile Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

V&L MOBILE LAB LLC

Practice address

830 Spring Creek Rd Ste C
Bainbridge, GA 39817-3554

Phone

(229) 398-8560

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Vanessa N White

Title

Lab Director

Phone

(222) 293-9885

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1629814611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SPRING CREEK RD STE C",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398173554",
            "telephone_number": "229-398-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SPRING CREEK RD STE C",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398173554",
            "telephone_number": "229-398-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V&L MOBILE LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "222-293-9885"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alton Chadwick Tuten, D.C.
• Angela Frances Tyus, NP
• Brittney Tyus, NP-C
• William Davis Tyus, FNP
• Donald Wesley Underwood, CRNA
• Whitney Brooke Vance, MD
• Caroline Louise Vasquez, FNP
• Matthew Chace Vaughn, PHARMD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5422)
• Wal-Mart Stores East, LP (Vision Center 30-5422)

• Clinical Medical Laboratory in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.