Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Outreach Mobile Lab, LLC

Organization Community Health Worker · NPI 1700643764

Outreach Mobile Lab, LLC is a Community Health Worker in Indianapolis, Indiana. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5901 Walsham Way
Indianapolis, IN 46254
Phone: (317) 567-1293
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X
Community Health Worker Taxonomy 172V00000X
Health Educator Taxonomy 174H00000X

Record details

NPI number1700643764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Demetria Buckner — Manager · (317) 567-1293
NPI enumeratedMarch 5, 2024
Last updated in NPPESMarch 5, 2024
Mailing address3250 A. West 86th St #1289, Indianapolis, IN 46268-3605

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