Provider Demographics
NPI:1023358637
Name:NATIONAL PHLEBOTOMY ASSOCIATION
Entity Type:Organization
Organization Name:NATIONAL PHLEBOTOMY ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:CORLISS
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:301-386-4200
Mailing Address - Street 1:1901 BRIGHTSEAT RD
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4257
Mailing Address - Country:US
Mailing Address - Phone:301-386-4200
Mailing Address - Fax:301-386-4203
Practice Address - Street 1:1901 BRIGHTSEAT RD
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-4257
Practice Address - Country:US
Practice Address - Phone:301-386-4200
Practice Address - Fax:301-386-4203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1562251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)