Outreach Mobile Lab, LLC
NPI 1700643764ActiveOrganization· Technician, Pathology, Phlebotomy· Indianapolis, IN
Technician, Pathology, Phlebotomy in Indianapolis, Indiana, registered in NPPES in March 2024. The authorized official on file is Demetria Buckner, MA, Manager.
Overview
| NPI | 1700643764 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 5, 2024 |
| Last updated in NPPES | Mar 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Pathology, Phlebotomy Primary | 246RP1900X | — | — |
| Community Health Worker | 172V00000X | — | — |
| Health Educator | 174H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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