Healthcare Provider Details

I. General information

NPI: 1437068152
Provider Name (Legal Business Name): LVL SPECIMEN & LAB SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 TOWNSHIP LINE RD
ELKINS PARK PA
19027-2252
US

IV. Provider business mailing address

5318 DIAMOND ST
PHILA PA
19131-2323
US

V. Phone/Fax

Practice location:
  • Phone: 267-658-2549
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. LEATRICE RICHMOND
Title or Position: OWNER
Credential:
Phone: 267-658-2549