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OUTREACH MOBILE LAB, LLC
NPI 1700643764
Technician, Pathology - Phlebotomy in Indianapolis, IN

Active since March 05, 2024
5901 WALSHAM WAY, INDIANAPOLIS, IN 46254(317) 567-1293 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Outreach Mobile Lab, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUTREACH MOBILE LAB, LLC (NPI 1700643764) is a healthcare organization registered as a phlebotomy in Indianapolis, Indiana and active in the NPI registry since March 2024. The organization lists Demetria Buckner, Manager, as its authorized official.

NPPES Registry Identity

NPI1700643764
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business NameOUTREACH MOBILE LAB, LLC
Location Address5901 WALSHAM WAYIndianapolis, IN 46254
Mailing Address3250 A. West 86th St #1289Indianapolis, IN 46268-3605 · (317) 567-1293 · Fax (317) 981-3979
Phone(317) 567-1293
Organization SubpartNo
Authorized OfficialDemetria BucknerManager · (317) 567-1293
Enumeration DateMarch 5, 2024
✔ NPI 1700643764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedHealth EducatorTaxonomy 174H00000X
5901 WALSHAM WAY, Indianapolis, IN 46254
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS DEMETRIA BUCKNER BS HEALTH SCIENCES,
Technician, Pathology (Phlebotomy)
5901 WALSHAM WAY
INDIANAPOLIS, IN 46254
Marion County (317) 509-7674

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Outreach Mobile Lab, LLC's NPI number?

The NPI number for Outreach Mobile Lab, LLC is 1700643764. It was assigned to this organization in the NPPES registry on March 5, 2024.

Where is Outreach Mobile Lab, LLC located?

Outreach Mobile Lab, LLC is located at 5901 Walsham Way, Indianapolis, IN 46254. The listed phone number is (317) 567-1293.

What is Outreach Mobile Lab, LLC's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Outreach Mobile Lab, LLC was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.