Healthcare Provider Details

I. General information

NPI: 1306215306
Provider Name (Legal Business Name): NATIONAL PHLEBOTOMY PROVIDER NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2015
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3145 GEARY BLVD SUITE 607
SAN FRANCISCO CA
94118-3316
US

IV. Provider business mailing address

3145 GEARY BLVD SUITE 607
SAN FRANCISCO CA
94118-3316
US

V. Phone/Fax

Practice location:
  • Phone: 888-357-8499
  • Fax: 623-936-7374
Mailing address:
  • Phone: 888-357-8499
  • Fax: 415-608-2174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: NATHAN D CRON
Title or Position: PRESIDENT
Credential:
Phone: 808-792-5178