Provider Demographics
NPI:1417755836
Name:DRIP N DASH MOBILE SOLUTION LLC
Entity type:Organization
Organization Name:DRIP N DASH MOBILE SOLUTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EDDRENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERTRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-293-8008
Mailing Address - Street 1:6751 N SUNSET BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85305-3155
Mailing Address - Country:US
Mailing Address - Phone:888-293-8008
Mailing Address - Fax:
Practice Address - Street 1:6751 N SUNSET BLVD STE 320
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85305-3155
Practice Address - Country:US
Practice Address - Phone:888-293-8008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty