Provider Demographics
NPI:1386308336
Name:GENTLE TOUCH MOBILE PHLEBOTOMY SERVICES, LLC
Entity type:Organization
Organization Name:GENTLE TOUCH MOBILE PHLEBOTOMY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUFFINS
Authorized Official - Suffix:
Authorized Official - Credentials:CPBT, LAB ASSISTANT
Authorized Official - Phone:318-517-7428
Mailing Address - Street 1:8001 WYNGATE BLVD
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-3933
Mailing Address - Country:US
Mailing Address - Phone:318-517-7428
Mailing Address - Fax:318-216-5164
Practice Address - Street 1:7505 PINES ROAD
Practice Address - Street 2:SUITE 1200-E
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129-3935
Practice Address - Country:US
Practice Address - Phone:318-517-7428
Practice Address - Fax:318-568-8019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty