Provider Demographics
NPI:1255696175
Name:VENI-EXPRESS, INC.
Entity type:Organization
Organization Name:VENI-EXPRESS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MYRNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:STEINBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-745-1713
Mailing Address - Street 1:PO BOX 301438
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92030
Mailing Address - Country:US
Mailing Address - Phone:760-745-1713
Mailing Address - Fax:760-745-1375
Practice Address - Street 1:300 W GRAND AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-745-1713
Practice Address - Fax:877-626-2306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-06
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLR003431983291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGD953AMedicare UPIN