Healthcare Provider Details

I. General information

NPI: 1821775719
Provider Name (Legal Business Name): NCB MOBILE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 07/03/2023
Certification Date: 07/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4941 CLARKSON DR
INDIANAPOLIS IN
46254-4198
US

IV. Provider business mailing address

4941 CLARKSON DR
INDIANAPOLIS IN
46254-4198
US

V. Phone/Fax

Practice location:
  • Phone: 317-983-1889
  • Fax:
Mailing address:
  • Phone: 317-983-1889
  • 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: MRS. NABUTASHA BARNES
Title or Position: OWNER/OPERATOR
Credential:
Phone: 317-983-1889