Whalio Doctors

NPI 1720588221

Eminence Healthcare Staffing Agency LLC.

Organisation Clinical Medical Laboratory South Bend, IN

Practice location

Address
2015 W Western Ave STE 201, South Bend, IN 46619-3558
Phone
(866) 350-6400

Authorised official

Name
Heidi Davonne Brown
Title
Owner, MD, Ceo
Phone
(866) 350-6400

Registered specialties (8)

Clinical Medical Laboratory Primary
Laboratories Taxonomy 291U00000X
Licensed Practical Nurse
Nursing Service Providers Taxonomy 164W00000X Licence 27075427A (IN)
Health Service Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QH0100X
Point of Service
Managed Care Organizations Taxonomy 305S00000X
Non-Pharmacy Dispensing Site
Suppliers Taxonomy 332900000X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Private Vehicle
Transportation Services Taxonomy 347C00000X
Respite Care
Respite Care Facility Taxonomy 385H00000X

Registry record

NPI
1720588221
Entity type
Organization
NPI issued
20 Feb 2018
Record last updated
22 Aug 2021

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.