Active NPI
Vip Express Lab LLC
- Phlebotomy Technician
- Valparaiso, IN
National Provider Identifier
1982289377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catina Radford
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | catina1076@gmail.com | Other |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Merrillville, IN
- NPI 1215525415
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"
}
]
}
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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.