Organization · Type 2 NPI

Phlebotech LLC

Phlebotomy Technician · Baltimore, MD

NPI number 1235807629 Active

Practice location

430 Random Rd
Baltimore, MD 21229-3928

Fax (240) 457-4486

Specialties and licenses

Taxonomy	Code	License
Phlebotomy Technician Primary	246RP1900X	None listed

Phlebotomy Technician: Definition to come...

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NPI record

NPI: 1235807629
Entity type: Organization (Type 2)
Issued: Sep 1, 2021
Last updated: Sep 1, 2021
Status: Active

Other names

Phlebotech LLC · former legal business name
Phlebotech Mobile Phlebotomy Business · other name

Authorized official

Ebonie Fulwood, CERTIFICATION
Phlebotomist / Cpi
(443) 455-4683

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235807629

Phlebotech LLC's National Provider Identifier is 1235807629, issued on Sep 1, 2021. The primary taxonomy on file is Phlebotomy Technician (246RP1900X), and the practice location is in Baltimore, MD. The record was last updated on Sep 1, 2021.