NPI Code Details Logo

NPI 1861305807

NPI 1861305807 : VITAL FLOW LAB & TRAINING SERVICES : ATLANTA, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1861305807
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    VITAL FLOW LAB & TRAINING SERVICES 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/22/2026
-----------------------------------------------------
    Last Update Date     |    09/22/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    440 OAK DR SE 
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30354-2839
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    386-383-6939
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    440 OAK DR SE 
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30354-2839
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    386-383-6939
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    MS. ASHLEY N MASSEY 
-----------------------------------------------------
    Credential           |    PT
-----------------------------------------------------
    Telephone            |    386-383-6939
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    246RP1900X
-----------------------------------------------------
    Taxonomy Name        |    Phlebotomy Technician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.