Provider Demographics
NPI:1558110445
Name:INVEIN PHLEBOTOTMY INSTITUTE LLC
Entity type:Organization
Organization Name:INVEIN PHLEBOTOTMY INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TENEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-609-6711
Mailing Address - Street 1:900 COMMONWEALTH PL STE 200
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-4530
Mailing Address - Country:US
Mailing Address - Phone:703-609-6711
Mailing Address - Fax:
Practice Address - Street 1:3611 COLLEY AVE APT 101
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23508-2679
Practice Address - Country:US
Practice Address - Phone:703-609-6711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INVEIN PHLEBOTOTMY INSTITUTE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory