Provider Demographics
NPI:1306372453
Name:PHLEBOTOMY SERVICES OF SWFL LLC
Entity Type:Organization
Organization Name:PHLEBOTOMY SERVICES OF SWFL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-615-7707
Mailing Address - Street 1:891 QUEEN RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-4810
Mailing Address - Country:US
Mailing Address - Phone:941-228-1396
Mailing Address - Fax:941-492-2446
Practice Address - Street 1:891 QUEEN RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-4810
Practice Address - Country:US
Practice Address - Phone:941-228-1396
Practice Address - Fax:941-492-2446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty