Provider Demographics
NPI:1235306317
Name:BLOODCARE INC
Entity Type:Organization
Organization Name:BLOODCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:SIMES
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:PHLEBOTOMIST
Authorized Official - Phone:940-594-4672
Mailing Address - Street 1:5605 COVENTRY PARK DR
Mailing Address - Street 2:SUITE 2010
Mailing Address - City:HALTOM CITY
Mailing Address - State:TX
Mailing Address - Zip Code:76117-1549
Mailing Address - Country:US
Mailing Address - Phone:940-594-4672
Mailing Address - Fax:
Practice Address - Street 1:5605 COVENTRY PARK DR
Practice Address - Street 2:SUITE 2010
Practice Address - City:HALTOM CITY
Practice Address - State:TX
Practice Address - Zip Code:76117-1549
Practice Address - Country:US
Practice Address - Phone:940-594-4672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty