Stick And Go Mobile Lab Services

LBN: Stick And Go Mobile Lab Services
Stick And Go Mobile Lab Services is an health care organization with primary practice located at 2015 W Western Ave , South Bend IN 46619-3544. The organization recently has 6 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Phlebotomy, Agencies / Home Health, Agencies / Nursing Care, Ambulatory Health Care Facilities / Clinic/Center, Managed Care Organizations / Health Maintenance Organization, Suppliers / Blood Bank. Managed Care Organizations / Health Maintenance Organization is the primary health care specialty. Stick And Go Mobile Lab Services can be contacted via phone (800) 820-8210, or through Brooks, Jazmine via phone (708) 714-4935.

Contact Information

Primary practice address
2015 W Western Ave South Bend IN 46619-3544
Phone: (800) 820-8210
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Jazmine CPT
Phone: (708) 714-4935

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X
Agencies / Home Health 251E00000X
Agencies / Nursing Care 251J00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Managed Care Organizations / Health Maintenance Organization 302R00000X
Suppliers / Blood Bank 331L00000X

Profile Details

NPI number 1356148100
LBN Legal business name Stick And Go Mobile Lab Services
DBA Doing business as
Authorized official Brooks, Jazmine CPT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2025
Last updated Feb 28th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356148100 NPPES
Indiana MEDICAID 1396558912

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