Healthcare Provider Details
I. General information
NPI: 1063358752
Provider Name (Legal Business Name): PHLEBS R US
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1100 W CERMAK RD STE 630
CHICAGO IL
60608-4560
US
IV. Provider business mailing address
1100 W CERMAK RD STE 630
CHICAGO IL
60608-4560
US
V. Phone/Fax
- Phone: 833-745-3268
- Fax:
- Phone: 833-745-3268
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246Q00000X |
| Taxonomy | Pathology Specialist/Technologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
NAPOLEON
RUCKER
Title or Position: C.E.O
Credential:
Phone: 833-745-3268