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NPI Code Detail

MEDICARE: ORDER OF DRAW PHLEBOTOMY SERVICES, LLC

MEDICARE: ORDER OF DRAW 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
1246RP1900XPhlebotomy Technician

General Provider Information

NPI Number : 1629831425
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORDER OF DRAW PHLEBOTOMY SERVICES, LLC
Provider Business Mailing Address
First Line : 231 SHORT ST
Second Line :
City : SARALAND
State : AL
Zip : 36571-9438
Country : US
Telephone Number : 205-329-5027
Fax Number : 207-690-5245
Provider Business Practice Location Address
First Line : 1111 E I65 SERVICE RD S STE 104-1077
Second Line :
City : MOBILE
State : AL
Zip : 36606-3112
Country : US
Telephone Number : 888-231-6498
Fax Number : 207-690-5245
Authorized Official
Title or Position : BUSINESS COORDINATOR
Name : TONYA L WASHINGTON
Credential : MA, CPT,
Telephone Number : 888-231-6498
Provider Enumeration Date : 02/05/2024
Last Update Date : 02/05/2024

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Directions to “ORDER OF DRAW PHLEBOTOMY SERVICES, LLC ” Practice Location

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