MEDICARE: BLOOD ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician

General Provider Information

NPI Number	:	1093663387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOD ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	2109 ELLA LANE
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010
Country	:	US
Telephone Number	:	401-330-8529
Fax Number	:

Provider Business Practice Location Address
First Line	:	2109 ELLA LANE
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010
Country	:	US
Telephone Number	:	401-330-8529
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEFFINI STALOS
Credential	:	DO
Telephone Number	:	401-330-8529

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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