Healthcare Provider Details

I. General information

NPI: 1528694056
Provider Name (Legal Business Name): PHLEBOTOMY SERVICES OF AMERICA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2020
Last Update Date: 01/04/2022
Certification Date: 01/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 CORPORATE DR STE 200
BIRMINGHAM AL
35242-2733
US

IV. Provider business mailing address

PO BOX 382254
BIRMINGHAM AL
35238-2254
US

V. Phone/Fax

Practice location:
  • Phone: 205-378-8040
  • Fax: 205-749-0349
Mailing address:
  • Phone: 205-378-8040
  • Fax: 205-749-0349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA STODDARD
Title or Position: PRESIDENT
Credential:
Phone: 205-378-8040