Healthcare Provider Details
I. General information
NPI: 1508770504
Provider Name (Legal Business Name): VEIN FYNDER MOBILE LAB
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3115 LILLIAN MILLER PKWY STE 103-247
DENTON TX
76210-3055
US
IV. Provider business mailing address
3115 LILLIAN MILLER PKWY STE 103-247
DENTON TX
76210-3055
US
V. Phone/Fax
- Phone: 940-222-8336
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246RP1900X |
| Taxonomy | Phlebotomy Technician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
SHONTILLA
COOK
Title or Position: OWNER
Credential:
Phone: 940-222-8336