Healthcare Provider Details

I. General information

NPI: 1972071363
Provider Name (Legal Business Name): RAPID RESULTS PHLEBOTOMY SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 11/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 N ANTLERS PL
BEAR DE
19701-2780
US

IV. Provider business mailing address

242 N ANTLERS PL
BEAR DE
19701-2780
US

V. Phone/Fax

Practice location:
  • Phone: 302-723-0034
  • Fax:
Mailing address:
  • Phone: 302-723-0034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QL0900X
TaxonomyLaboratory Management Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JERE E DAVIS
Title or Position: OWNER/PHLEBOTOMIST
Credential:
Phone: 302-723-0034