Provider Demographics
NPI:1841715695
Name:GENTLE TOUCH BLOOD DRAW SERVICE LLC
Entity type:Organization
Organization Name:GENTLE TOUCH BLOOD DRAW SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BARGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-241-4974
Mailing Address - Street 1:791 N 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:AZ
Mailing Address - Zip Code:86025-2341
Mailing Address - Country:US
Mailing Address - Phone:928-241-4974
Mailing Address - Fax:
Practice Address - Street 1:791 N 9TH AVE
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:AZ
Practice Address - Zip Code:86025-2341
Practice Address - Country:US
Practice Address - Phone:928-241-4974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-12
Last Update Date:2017-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZC7H6R2C4246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZC7H6R2C4OtherNATIONAL HEALTHCARE ASSOCIATION