MEDICARE: STERILE TECHNIQUE PHLEBOTOMY AND CPR FIRST AID SCHOOL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator
2	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1043941685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STERILE TECHNIQUE PHLEBOTOMY AND CPR FIRST AID SCHOOL LLC

Provider Business Mailing Address
First Line	:	11100 LIBERTY RD STE K
Second Line	:
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-1054
Country	:	US
Telephone Number	:	443-467-0124
Fax Number	:

Provider Business Practice Location Address
First Line	:	11100 LIBERTY RD STE K
Second Line	:
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-1054
Country	:	US
Telephone Number	:	443-467-0124
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAMERA ALLEN
Credential	:
Telephone Number	:	443-467-0124

Provider Enumeration Date	:	06/23/2022
Last Update Date	:	05/22/2025

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