Provider Demographics
NPI:1851187835
Name:NEEDLES ON WHEELS MOBILE PHLEBOTOMY
Entity type:Organization
Organization Name:NEEDLES ON WHEELS MOBILE PHLEBOTOMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOMINGO
Authorized Official - Middle Name:H
Authorized Official - Last Name:TIAMZON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:818-731-1009
Mailing Address - Street 1:7869 VENTURA CANYON AVE UNIT 202
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-6361
Mailing Address - Country:US
Mailing Address - Phone:818-731-1009
Mailing Address - Fax:
Practice Address - Street 1:7869 VENTURA CANYON AVE UNIT 202
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-6361
Practice Address - Country:US
Practice Address - Phone:818-731-1009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No302R00000XManaged Care OrganizationsHealth Maintenance Organization