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

Vividly Profound LLC

Organization Phlebotomy Technician · NPI 1184565665

Vividly Profound LLC is a Phlebotomy Technician in Macedonia, Ohio. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8210 Macedonia Commons Blvd Ste 3B #2172
Macedonia, OH 44056
Phone: (440) 561-0986
Show map & directions

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

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X

Record details

NPI number1184565665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Destiny Harriston — Medical Assistant/Phlebotomist · (440) 561-0986
Other names Vitalized Laboratory
NPI enumeratedApril 1, 2026
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address8210 Macedonia Commons Blvd, Ste 3b #2172, Macedonia, OH 44056