Healthcare Provider Details

I. General information

NPI: 1841949138
Provider Name (Legal Business Name): JOHNSON N JOHNSON'S MOBILE PHLEBOTOMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3975 N NELLIS BLVD APT 2101
LAS VEGAS NV
89115-2766
US

IV. Provider business mailing address

3975 N NELLIS BLVD APT 2101
LAS VEGAS NV
89115-2766
US

V. Phone/Fax

Practice location:
  • Phone: 702-337-1311
  • Fax:
Mailing address:
  • Phone: 702-337-1311
  • 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: MS. LAKISHA JOHNSON
Title or Position: OWNER
Credential: PHLEBOTOMIST
Phone: 702-849-1498