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1306203229 NPI number — QUICK AND EASY HPLEBOTOMY SERVICES, LLC

NPI Number: 1306203229
Health Care Provider/Practitioner: QUICK AND EASY HPLEBOTOMY SERVICES, LLC

Information about “1306203229” NPI (QUICK AND EASY HPLEBOTOMY SERVICES, LLC) exists in 1306203229 in HTML format HTML  |  1306203229 in plain Text format TXT  |  1306203229 in PDF (Portable Document Format) PDF  |  1306203229 in an XML format XML  formats.

NPI Number : 1306203229 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306203229",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "QUICK AND EASY HPLEBOTOMY SERVICES, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9029 AIRPORT BLVD UNIT 91896",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90009-4904",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-646-0308",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9029 AIRPORT BLVD UNIT 91896",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90009-4904",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-646-0308",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/22/2016",
    "LastUpdateDate": "01/10/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AMEN-RA",
    "AuthorizedOfficialFirstName": "KAYAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "EMT1-A, CPT1, EKG",
    "AuthorizedOfficialTelephoneNumber": "800-646-0308",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "201535610674",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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