MEDICARE: PHLEBOTOMY SOLUTIONS

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	:	1396310264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHLEBOTOMY SOLUTIONS

Provider Business Mailing Address
First Line	:	43920 MARGARITA RD STE H
Second Line	:
City	:	TEMECULA
State	:	CA
Zip	:	92592-2736
Country	:	US
Telephone Number	:	310-993-6376
Fax Number	:

Provider Business Practice Location Address
First Line	:	43920 MARGARITA RD STE H
Second Line	:
City	:	TEMECULA
State	:	CA
Zip	:	92592-2736
Country	:	US
Telephone Number	:	310-993-6376
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	CYNTHIA G SANTIBANEZ
Credential	:
Telephone Number	:	310-993-6376

Provider Enumeration Date	:	05/24/2021
Last Update Date	:	05/24/2021

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Directions to “PHLEBOTOMY SOLUTIONS ” Practice Location

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