Healthcare Provider Details

I. General information

NPI: 1891379020
Provider Name (Legal Business Name): THE PERFECT DRAW MOBILE LABORATORY SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 05/17/2021
Certification Date: 05/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12803 SUNSET DUNE DR
HOUSTON TX
77082-5321
US

IV. Provider business mailing address

PO BOX 79522
HOUSTON TX
77279-9522
US

V. Phone/Fax

Practice location:
  • Phone: 832-278-0911
  • Fax:
Mailing address:
  • Phone: 832-278-0911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: MS. RASHIEDA D HOLLINS
Title or Position: OWNER OPERATOR
Credential: PBT
Phone: 832-278-0911