MEDICARE: ON CALL LAB DRAW 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	:	1780272351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON CALL LAB DRAW LLC

Provider Business Mailing Address
First Line	:	1040 ANN ST
Second Line	:
City	:	WESTLAKE
State	:	LA
Zip	:	70669-3802
Country	:	US
Telephone Number	:	337-485-1220
Fax Number	:	337-476-2018

Provider Business Practice Location Address
First Line	:	103 W THOMAS ST
Second Line	:
City	:	SULPHUR
State	:	LA
Zip	:	70663-3353
Country	:	US
Telephone Number	:	337-485-1220
Fax Number	:	337-476-2018

Authorized Official
Title or Position	:	OWNER/PHLEBOTOMY TECHNICIAN
Name	:	MRS. SHEENA MARIE MARTIN
Credential	:	CPI (ACA)
Telephone Number	:	337-485-1220

Provider Enumeration Date	:	01/08/2021
Last Update Date	:	01/29/2026

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Directions to “ON CALL LAB DRAW LLC ” Practice Location

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