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Contact Information

VIVIDLY PROFOUND LLC
8210 MACEDONIA COMMONS BLVD
STE 3B #2172
MACEDONIA, OH44056
 Phone: 440-561-0986
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebotomy

246RP1900X
Indicates primary specialty

NPI Profile & details for VIVIDLY PROFOUND LLC · (Female)

NPI # 1184565665
Status Active
Credentials
Entity Individual
Enumeration date 04/01/2026
Last updated 04/01/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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