Provider Demographics
NPI:1114719630
Name:VDS MOBILE PHLEBOTOMY LAB
Entity type:Organization
Organization Name:VDS MOBILE PHLEBOTOMY LAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MOBILE PHLEBOTOMIST
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-322-7100
Mailing Address - Street 1:274 LOMBARD AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-4839
Mailing Address - Country:US
Mailing Address - Phone:210-322-7100
Mailing Address - Fax:
Practice Address - Street 1:274 LOMBARD AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4839
Practice Address - Country:US
Practice Address - Phone:210-322-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty