Healthcare Provider Details

I. General information

NPI: 1023921426
Provider Name (Legal Business Name): V3 VITAL VEIN VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 KINGS RIDGE RD
MITCHELL IN
47446-5276
US

IV. Provider business mailing address

1390 KINGS RIDGE RD
MITCHELL IN
47446-5276
US

V. Phone/Fax

Practice location:
  • Phone: 812-583-5951
  • Fax:
Mailing address:
  • Phone: 812-583-5951
  • 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: KRISTLE DAWN HATFIELD
Title or Position: CEO/OWNER
Credential:
Phone: 812-583-5951