Healthcare Provider Details

I. General information

NPI: 1861305807
Provider Name (Legal Business Name): VITAL FLOW LAB & TRAINING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 OAK DR SE
ATLANTA GA
30354-2839
US

IV. Provider business mailing address

440 OAK DR SE
ATLANTA GA
30354-2839
US

V. Phone/Fax

Practice location:
  • Phone: 386-383-6939
  • Fax:
Mailing address:
  • Phone: 386-383-6939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: MS. ASHLEY N MASSEY
Title or Position: CEO
Credential: PT
Phone: 386-383-6939