Healthcare Provider Details

I. General information

NPI: 1174000152
Provider Name (Legal Business Name): ASHLI MARIE CUBIT PHLEBOTOMIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2018
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 N POST OAK RD
OKLAHOMA CITY OK
73105-6427
US

IV. Provider business mailing address

6201 N POST OAK RD
OKLAHOMA CITY OK
73105-6427
US

V. Phone/Fax

Practice location:
  • Phone: 469-323-8723
  • Fax: 888-521-0184
Mailing address:
  • Phone: 469-323-8723
  • Fax: 888-521-0184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberQ9N5K6S2
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: