Provider Demographics
NPI:1043941685
Name:STERILE TECHNIQUE PHLEBOTOMY AND CPR FIRST AID SCHOOL LLC
Entity Type:Organization
Organization Name:STERILE TECHNIQUE PHLEBOTOMY AND CPR FIRST AID SCHOOL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMERA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-467-0124
Mailing Address - Street 1:122 SLADE AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4993
Mailing Address - Country:US
Mailing Address - Phone:443-467-0124
Mailing Address - Fax:
Practice Address - Street 1:122 SLADE AVE STE 201
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-4993
Practice Address - Country:US
Practice Address - Phone:443-467-0124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty