Organization · Type 2 NPI
Idesta Medical Inc
Phlebotomy Technician · Tyrone, GA
NPI number
1063185015
Active
Practice location
1015 Tyrone Rd # 410-C
Tyrone, GA 30290-2407
Fax (866) 984-3729
Mailing address
4827 Old National Hwy Unit 2032
College Park, GA 30337-6234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | None listed |
| Phlebotomy Technician Primary | 246RP1900X | None listed |
| Clinic/Center | 261Q00000X | None listed |
Phlebotomy Technician: Definition to come...
Another provider at this address
About NPI 1063185015
Idesta Medical Inc's National Provider Identifier is 1063185015, issued on Jul 27, 2021. The primary taxonomy on file is Phlebotomy Technician (246RP1900X), and the practice location is in Tyrone, GA. The record was last updated on Jun 10, 2026.