Provider Demographics
NPI:1699521864
Name:GIFTED TOUCH MOBILE PHLEBOTOMY SERVICES, LLC
Entity type:Organization
Organization Name:GIFTED TOUCH MOBILE PHLEBOTOMY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHEVONE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHINNESSEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-443-8336
Mailing Address - Street 1:272 MORNINGVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-3566
Mailing Address - Country:US
Mailing Address - Phone:330-459-1582
Mailing Address - Fax:
Practice Address - Street 1:50 S MAIN ST STE 127
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1829
Practice Address - Country:US
Practice Address - Phone:833-443-1379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-27
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251E00000XAgenciesHome Health
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health