Provider Demographics
NPI:1336692466
Name:PHLEBOTOMY SERVICES INTERNATIONAL INC.
Entity Type:Organization
Organization Name:PHLEBOTOMY SERVICES INTERNATIONAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:CUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:541-664-4382
Mailing Address - Street 1:650 E PINE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-2400
Mailing Address - Country:US
Mailing Address - Phone:541-664-4382
Mailing Address - Fax:541-210-9682
Practice Address - Street 1:650 E PINE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-2400
Practice Address - Country:US
Practice Address - Phone:541-664-4382
Practice Address - Fax:541-210-9682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care