Healthcare Provider Details

I. General information

NPI: 1184554735
Provider Name (Legal Business Name): RED MOBILE PHLEBOTOMY SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 MOUNT ZION ROAD BUILDING 2 SUITE 9
MORROW GA
30260
US

IV. Provider business mailing address

1115 MOUNT ZION ROAD BUILDING 2 SUITE 9
MORROW GA
30260
US

V. Phone/Fax

Practice location:
  • Phone: 470-650-8626
  • Fax:
Mailing address:
  • Phone: 470-650-8626
  • 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. MELISSA BROWN MCCARTHY
Title or Position: OWNER
Credential: CPT
Phone: 470-650-8626