Healthcare Provider Details

I. General information

NPI: 1497602858
Provider Name (Legal Business Name): MALEMILE BLOOD MOBILE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5650 ARGONNE ST
DENVER CO
80249-8824
US

IV. Provider business mailing address

5650 ARGONNE ST
DENVER CO
80249-8824
US

V. Phone/Fax

Practice location:
  • Phone: 720-572-0736
  • Fax:
Mailing address:
  • Phone: 720-572-0736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIA MALENA FARINAS COSTA
Title or Position: OWNER
Credential: PHLEBOTOMIST
Phone: 720-572-0736