Healthcare Provider Details

I. General information

NPI: 1568337178
Provider Name (Legal Business Name): LADY IN RED MOBILE PHLEBOTOMY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 LOWELL AVE # APTV1
CINCINNATI OH
45220-2336
US

IV. Provider business mailing address

545 LOWELL AVE APT 1
CINCINNATI OH
45220-2336
US

V. Phone/Fax

Practice location:
  • Phone: 513-413-0655
  • Fax:
Mailing address:
  • Phone: 513-413-0655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: MS. COURALISA LITTLE
Title or Position: OWNER/OPERATOR
Credential: CPT
Phone: 513-413-0655