Healthcare Provider Details

I. General information

NPI: 1518862846
Provider Name (Legal Business Name): ONLY HARD STICKS MOBILE PHLEBOTOMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 W. JOHN STREET STE 103
MOUNT OLIVE NC
28365
US

IV. Provider business mailing address

103 W. JOHN STREET STE 101
MOUNT OLIVE NC
28365
US

V. Phone/Fax

Practice location:
  • Phone: 919-344-5103
  • Fax:
Mailing address:
  • Phone: 919-344-5103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATINA R NEWSOME
Title or Position: OWNER
Credential:
Phone: 919-344-5103