MEDICARE: M&P MOBILE PHLEBOTOMY SERVICES 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	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1073313516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M&P MOBILE PHLEBOTOMY SERVICES LLC

Provider Business Mailing Address
First Line	:	8929 J M KEYNES DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-8406
Country	:	US
Telephone Number	:	704-388-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	8929 J M KEYNES DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-8406
Country	:	US
Telephone Number	:	704-388-2600
Fax Number	:

Authorized Official
Title or Position	:	PHLEBOTOMIST
Name	:	TOMEKA AKIYA HILL
Credential	:	CPT
Telephone Number	:	704-388-2600

Provider Enumeration Date	:	03/14/2025
Last Update Date	:	03/14/2025

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