NPI 1356148100

Stick and Go Mobile Lab Services

Organisation Health Maintenance Organization South Bend, IN

Practice location

Address: 2015 W Western Ave, South Bend, IN 46619-3544
Phone: (800) 820-8210
Mailing address: 137 S Sheridan St, South Bend, IN 46619-1858

Authorised official

Name: Jazmine Brooks
Title: Travel Phlebotomist
Phone: (708) 714-4935

Registered specialties (6)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Phlebotomy Technician

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Nursing Care Agency

Agencies Taxonomy 251J00000X

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Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

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Blood Bank

Suppliers Taxonomy 331L00000X

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Registry record

NPI: 1356148100
Entity type: Organization
NPI issued: 28 Feb 2025
Record last updated: 28 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.