Healthcare Provider Details

I. General information

NPI: 1043115124
Provider Name (Legal Business Name): TC TENDER TOUCH MOBILE PHLEBOTOMY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 HERMITAGE DR
DANVILLE VA
24541-5807
US

IV. Provider business mailing address

315 HERMITAGE DR
DANVILLE VA
24541-5807
US

V. Phone/Fax

Practice location:
  • Phone: 267-444-9361
  • Fax:
Mailing address:
  • Phone: 267-444-9361
  • 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: TRACIE ROGELINE COULSTON
Title or Position: OWNER
Credential:
Phone: 267-444-9361