MEDICARE: TOP GRADE PHLEBOTOMY 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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1306702915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOP GRADE PHLEBOTOMY LLC

Provider Business Mailing Address
First Line	:	1411 CHERRY BLOSSOM WAY
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111
Country	:	UM
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2402 RHAWN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-3324
Country	:	US
Telephone Number	:	346-810-1144
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARIBEL CRUZ
Credential	:
Telephone Number	:	346-810-1144

Provider Enumeration Date	:	12/27/2025
Last Update Date	:	12/27/2025

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Directions to “TOP GRADE PHLEBOTOMY LLC ” Practice Location

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