MEDICARE: CHIANTE BENNING PHLEBOTOMIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RP1900X	Phlebotomy Technician	K6Y4P2A5	IN

General Provider Information

NPI Number	:	1821940792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIANTE BENNING PHLEBOTOMIST

Provider Business Mailing Address
First Line	:	11314 REDSKIN PL APT C
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-9764
Country	:	US
Telephone Number	:	317-746-4489
Fax Number	:

Provider Business Practice Location Address
First Line	:	8520 ALLISON POINTE BLVD SUITE 220
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250
Country	:	US
Telephone Number	:	317-746-4489
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ CHIANTE BENNING PHLEBOTOMIST” Practice Location

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