Healthcare Provider Details

I. General information

NPI: 1265601546
Provider Name (Legal Business Name): PHLEBOTOMY XPERTS, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1136 MONDRIAN LOOP
VIRGINIA BEACH VA
23453-3064
US

IV. Provider business mailing address

1136 MONDRIAN LOOP
VIRGINIA BEACH VA
23453-3064
US

V. Phone/Fax

Practice location:
  • Phone: 757-358-0713
  • Fax: 757-368-8809
Mailing address:
  • Phone: 757-358-0713
  • Fax: 757-368-8809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. CHEREE SIONE' OWENS
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 757-358-0713