Provider Demographics
NPI:1306215306
Name:NATIONAL PHLEBOTOMY PROVIDER NETWORK
Entity Type:Organization
Organization Name:NATIONAL PHLEBOTOMY PROVIDER NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-792-5178
Mailing Address - Street 1:3145 GEARY BLVD
Mailing Address - Street 2:SUITE 607
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3316
Mailing Address - Country:US
Mailing Address - Phone:888-357-8499
Mailing Address - Fax:415-608-2174
Practice Address - Street 1:3145 GEARY BLVD
Practice Address - Street 2:SUITE 607
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3316
Practice Address - Country:US
Practice Address - Phone:888-357-8499
Practice Address - Fax:623-936-7374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty