Healthcare Provider Details

I. General information

NPI: 1003724097
Provider Name (Legal Business Name): ON DEMAND 4 KIDZ & ADULTZ MOBILE PHLEBOTOMY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

338 LAUREN DR
FAIRBURN GA
30213-7007
US

IV. Provider business mailing address

338 LAUREN DR
FAIRBURN GA
30213-7007
US

V. Phone/Fax

Practice location:
  • Phone: 678-522-9543
  • Fax: 678-522-9543
Mailing address:
  • Phone: 678-522-9543
  • Fax: 678-522-9543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MS. DESHAWNDA C ALEXANDER
Title or Position: MEDICAL ASSISTANT
Credential:
Phone: 678-522-9543