Healthcare Port
Technician, Pathology, Phlebotomy in Gary, IN. Organization (NPI-2).
NPI number1831844539
StatusActive
Last updated in NPPESFeb 21, 2022
Details
- NPI
- 1831844539
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthcare Port
- Organization subpart
- No
- Enumeration date
- Feb 21, 2022
- Certification date
- Feb 21, 2022
- Last updated
- Feb 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246RP1900X | Technician, Pathology, Phlebotomy | – | – | Yes |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | – | – | |
| 261Q00000X | Clinic/Center | – | – |
Practice location
720 W 5th AveGary, IN 46402-1808
Phone 219-248-4912
Mailing address
804 Maryland StGary, IN 46402-2545
Phone 219-248-4912
Authorized official
Carysia Roberts
Lab Coordinator/Director
2192484912
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Other Phlebotomy Technician providers in Gary, IN
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- Autumn Marie MurphyNPI 1386281426
- Antoinette Taylor, CPTNPI 1730844127
All 5 Phlebotomy Technician providers in Gary · All 1,092 providers in Gary
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