Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Phlebotomy |
246RP1900X |
| NPI # | 1538964119 |
| LBN Legal business name | IVY MOBILE MEDICAL SERVICES LLC |
| Authorized official | VANESSA WILLIAMS - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/17/2025 |
| Last updated | 02/17/2025 - More than a year ago |
| Identifiers | n/a |
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