Healthcare Provider Details

I. General information

NPI: 1043941685
Provider Name (Legal Business Name): STERILE TECHNIQUE PHLEBOTOMY AND CPR FIRST AID SCHOOL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2022
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 LIBERTY RD STE K
RANDALLSTOWN MD
21133-1054
US

IV. Provider business mailing address

11100 LIBERTY RD STE K
RANDALLSTOWN MD
21133-1054
US

V. Phone/Fax

Practice location:
  • Phone: 443-467-0124
  • Fax:
Mailing address:
  • Phone: 443-467-0124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name: TAMERA ALLEN
Title or Position: OWNER
Credential:
Phone: 443-467-0124