Healthcare Provider Details

I. General information

NPI: 1679405260
Provider Name (Legal Business Name): VITAL POINT MOBILE LAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12401 LYTTON AVE
BRANDYWINE MD
20613-9070
US

IV. Provider business mailing address

12401 LYTTON AVE
BRANDYWINE MD
20613-9070
US

V. Phone/Fax

Practice location:
  • Phone: 240-478-3428
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. LAUREN RAWLINGS
Title or Position: PARAMEDIC
Credential: NREMT-P
Phone: 240-478-3428