Healthcare Provider Details

I. General information

NPI: 1629831425
Provider Name (Legal Business Name): ORDER OF DRAW PHLEBOTOMY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 02/05/2024
Certification Date: 02/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E I65 SERVICE RD S STE 104-1077
MOBILE AL
36606-3112
US

IV. Provider business mailing address

231 SHORT ST
SARALAND AL
36571-9438
US

V. Phone/Fax

Practice location:
  • Phone: 888-231-6498
  • Fax: 207-690-5245
Mailing address:
  • Phone: 205-329-5027
  • Fax: 207-690-5245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: TONYA L WASHINGTON
Title or Position: BUSINESS COORDINATOR
Credential: MA, CPT,
Phone: 888-231-6498