=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669397303
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOUCH OF VEIN LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/11/2026
-----------------------------------------------------
Last Update Date | 08/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1647 S 173RD DR
-----------------------------------------------------
City | GOODYEAR
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85338-1951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-500-0290
-----------------------------------------------------
Fax | 623-321-1195
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1647 S 173RD DR
-----------------------------------------------------
City | GOODYEAR
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85338-1951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PHLEBOTOMIST
-----------------------------------------------------
Name | SONYA PHILLIPS
-----------------------------------------------------
Credential | CERTIFIED
-----------------------------------------------------
Telephone | 623-500-0290
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 246RP1900X
-----------------------------------------------------
Taxonomy Name | Phlebotomy Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------