Provider Demographics
NPI:1073332839
Name:PHLEBS MOBILE PHLEBOTOMY SERVICES LLC
Entity type:Organization
Organization Name:PHLEBS MOBILE PHLEBOTOMY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATRICE
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-832-2859
Mailing Address - Street 1:25627 COLGATE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48125-1548
Mailing Address - Country:US
Mailing Address - Phone:248-832-2859
Mailing Address - Fax:
Practice Address - Street 1:25627 COLGATE ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48125-1548
Practice Address - Country:US
Practice Address - Phone:248-832-2859
Practice Address - Fax:248-927-0963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-08
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty