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General NPI Number Information
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NPI Number | 1407743933
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Entity Type | Organization
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Legal Business Name | ELITE PHLEBOTOMY SERVICES, INC.
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 6157 FLAGSTAFF DR
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City | EASTVALE
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State | CA
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Zip | 92880-4611
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Country | US
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Telephone | 562-303-2924
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Fax | 562-222-3001
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Provider Business Mailing Address
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Address Line | 12495 LIMONITE AVE # 1043
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City | EASTVALE
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State | CA
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Zip | 91752-2457
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Country | US
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Telephone | 909-287-1692
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Fax | 562-222-3001
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Authorized Official
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Title or Position | OWNER
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Name | KRISTY EDWARDS
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Credential | PHLEBOTOMY LICENSE
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Telephone | 909-287-1692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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