Provider Demographics
NPI:1053299685
Name:VSV CLINICAL LAB LLC
Entity type:Organization
Organization Name:VSV CLINICAL LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOREU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-693-7608
Mailing Address - Street 1:2165 NOLTE RD # 1027
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34772-8762
Mailing Address - Country:US
Mailing Address - Phone:407-693-7608
Mailing Address - Fax:
Practice Address - Street 1:2549 HARMONIA HAMMOCK RD
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:FL
Practice Address - Zip Code:34773-6151
Practice Address - Country:US
Practice Address - Phone:407-693-7608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty