Organization Active NPI

Vip Express Lab LLC

  • Phlebotomy Technician
  • Valparaiso, IN
National Provider Identifier
1982289377
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
VIP EXPRESS LAB LLC
Practice address
1201 Laporte Ave Apt 4220
Valparaiso, IN 46383-6160
Phone
(219) 713-0047
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Catina RadfordNPI 1215525415
Title
Owner/Operator
Phone
(219) 789-5759

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
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

1201 Laporte Ave Apt 4220
Valparaiso, IN 46383-6160

Mailing address

1201 Laporte Ave Apt 4220
Valparaiso, IN 46383-6160
Phone (219) 713-0047

Other names 1

  • Service mobile phlebotomy Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL catina1076@gmail.com Other

National Provider Directory

National Provider Directory

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": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1982289377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 LAPORTE AVE APT 4220",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836160",
            "telephone_number": "219-713-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LAPORTE AVE APT 4220",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836160",
            "telephone_number": "219-713-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP EXPRESS LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "CATINA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "219-789-5759"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "catina1076@gmail.com",
            "affiliation": "N",
            "endpointDescription": "blood draw",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "patient information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "insurance exams",
            "address_1": "1201 LaPorte Ave Apt 4220",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463836160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Service mobile phlebotomy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.