Provider Demographics
NPI:1972336303
Name:VAMPUTRIEVE LABS
Entity type:Organization
Organization Name:VAMPUTRIEVE LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED PHLEBOTOMIST
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:941-448-7121
Mailing Address - Street 1:9410 CERULEAN DR APT 303
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4783
Mailing Address - Country:US
Mailing Address - Phone:941-448-7121
Mailing Address - Fax:
Practice Address - Street 1:9410 CERULEAN DR APT 303
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4783
Practice Address - Country:US
Practice Address - Phone:941-448-7121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty