Healthcare Provider Details

I. General information

NPI: 1083586994
Provider Name (Legal Business Name): PHLEBOMOBILE EXPRESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 FOREST LAKES CIR APT C
WEST PALM BEACH FL
33406-5783
US

IV. Provider business mailing address

1630 FOREST LAKES CIR APT C
WEST PALM BEACH FL
33406-5783
US

V. Phone/Fax

Practice location:
  • Phone: 561-801-4306
  • Fax: 561-880-6839
Mailing address:
  • Phone: 561-801-4306
  • Fax: 561-880-6839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Q00000X
TaxonomyPathology Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: YAMELIS SALGADO FUENTES
Title or Position: OWNER
Credential: CPT
Phone: 346-812-7255