Provider Demographics
NPI:1063241016
Name:QUICK DRAW MOBILE PHLEBOTOMY SERVICE
Entity type:Organization
Organization Name:QUICK DRAW MOBILE PHLEBOTOMY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARREDONDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-760-6843
Mailing Address - Street 1:7795 GROVE RD NE
Mailing Address - Street 2:
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-9819
Mailing Address - Country:US
Mailing Address - Phone:509-760-6843
Mailing Address - Fax:
Practice Address - Street 1:7795 GROVE RD NE
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-9819
Practice Address - Country:US
Practice Address - Phone:509-760-6843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Single Specialty