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General NPI Number Information
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NPI Number | 1497680136
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Entity Type | Organization
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Legal Business Name | VITAL LABS PHLEBOTOMY SERVICES LLC
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 7975 BADURA AVE STE 1005
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City | LAS VEGAS
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State | NV
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Zip | 89113-2156
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Country | US
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Telephone | 702-626-8747
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Fax |
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Provider Business Mailing Address
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Address Line | 7975 BADURA AVE STE 1005
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City | LAS VEGAS
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State | NV
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Zip | 89113-2156
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Country | US
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Telephone | 702-626-8747
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Fax |
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Authorized Official
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Title or Position | OWNER/PHLEBOTOMIST
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Name | ALEXANDRIA PAJARILLO VENOYA
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Credential |
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Telephone | 702-626-8747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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