Provider Demographics
NPI:1053082552
Name:A&M PHLEBOTOMY SERVICES LLC
Entity Type:Organization
Organization Name:A&M PHLEBOTOMY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-451-5727
Mailing Address - Street 1:1919 NE 45TH ST STE 215
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5136
Mailing Address - Country:US
Mailing Address - Phone:954-901-5745
Mailing Address - Fax:954-999-5576
Practice Address - Street 1:1919 NE 45TH ST STE 215
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5136
Practice Address - Country:US
Practice Address - Phone:954-451-5727
Practice Address - Fax:954-999-5576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory