Outreach Mobile Lab, LLC

Outreach Mobile Lab, LLC is a healthcare organization registered as Phlebotomy Technician in Indianapolis, IN, holding Type 2 (organization) NPI 1700643764 since 2024. The authorized official on file is Demetria Buckner, Manager.

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NPI	1700643764
Entity type	Organization (Type 2)
Legal business name	Outreach Mobile Lab, LLC
Practice address	5901 WALSHAM WAY, Indianapolis, IN, 46254
Phone	3175671293
Enumeration date	2024-03-05
Last updated in NPPES	2024-03-05

Authorized official

Name	Demetria Buckner
Title	Manager
Phone	3175671293

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
172V00000X	Community Health Worker	Secondary	—	—
174H00000X	Health Educator	Secondary	—	—
246RP1900X	Phlebotomy Technician	Primary	—	—

Copy-ready billing details

Provider: Outreach Mobile Lab, LLC
NPI: 1700643764
Taxonomy: 246RP1900X (Phlebotomy Technician)
Address: 5901 WALSHAM WAY, Indianapolis, IN, 46254

Providers at this address

NPI	Name	Type	Specialty	Location
1346581949	Demetria Buckner	Individual	Phlebotomy Technician	Indianapolis, IN

Verify this record

Cross-check NPI 1700643764 against the authoritative CMS record: view Outreach Mobile Lab, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Outreach Mobile Lab, LLC located?

The practice location on file with NPPES is in Indianapolis, IN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-03-05. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-03-05.