Provider Demographics
NPI:1073311478
Name:ORDER OF DRAW MOBILE PHLEBOTOMY SERVICES LLC
Entity type:Organization
Organization Name:ORDER OF DRAW MOBILE PHLEBOTOMY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED PHLEBOTOMY/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDDINGS
Authorized Official - Suffix:
Authorized Official - Credentials:CPT, CPI
Authorized Official - Phone:708-822-5357
Mailing Address - Street 1:6206 MARSH LN
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-1410
Mailing Address - Country:US
Mailing Address - Phone:708-822-5357
Mailing Address - Fax:708-822-5357
Practice Address - Street 1:6206 MARSH LN
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-1410
Practice Address - Country:US
Practice Address - Phone:708-822-5357
Practice Address - Fax:708-822-5357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health