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Contact Information

IVY MOBILE MEDICAL SERVICES LLC
2580 W CAMP WISDOM RD HQ-158
100
GRAND PRAIRIE, TX75052
 Phone: 817-601-7347
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebotomy

246RP1900X
Indicates primary specialty

NPI Profile & details for IVY MOBILE MEDICAL SERVICES LLC

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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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