Provider Demographics
NPI:1669341848
Name:ONE DRAW AZ
Entity type:Organization
Organization Name:ONE DRAW AZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHLEBOTOMIST
Authorized Official - Prefix:
Authorized Official - First Name:TYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-499-5510
Mailing Address - Street 1:1535 S STATE ROUTE 89 APT 103
Mailing Address - Street 2:
Mailing Address - City:CHINO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86323-6669
Mailing Address - Country:US
Mailing Address - Phone:928-499-5510
Mailing Address - Fax:928-499-5510
Practice Address - Street 1:1535 S STATE ROUTE 89 APT 103
Practice Address - Street 2:
Practice Address - City:CHINO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86323-6669
Practice Address - Country:US
Practice Address - Phone:928-499-5510
Practice Address - Fax:928-499-5510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-04
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty