Healthcare Provider Details

I. General information

NPI: 1336034347
Provider Name (Legal Business Name): COMPASSIONATE CARE MOBILE PHLEBOTOMY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/14/2025
Certification Date: 06/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7911 ENCLAVE LANE
FOUNTAIN CO
80817
US

IV. Provider business mailing address

3609 AUSTIN BLUFFS PKWY STE 31
COLORADO SPRINGS CO
80918-6658
US

V. Phone/Fax

Practice location:
  • Phone: 719-407-0043
  • Fax:
Mailing address:
  • Phone: 719-407-0043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. SHUNNA D FLOWERS
Title or Position: DIRECTOR
Credential: PHLEBOTOMIST
Phone: 719-407-0043