Provider Demographics
NPI:1346933488
Name:ARCH LAB MOBILE PHLEBOTOMY
Entity Type:Organization
Organization Name:ARCH LAB MOBILE PHLEBOTOMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB TECH PHLEBOTOMIST
Authorized Official - Prefix:
Authorized Official - First Name:ARCHELIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:GERBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-667-6055
Mailing Address - Street 1:7830 HANOVER PKWY APT 102
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2601
Mailing Address - Country:US
Mailing Address - Phone:240-667-6055
Mailing Address - Fax:
Practice Address - Street 1:7830 HANOVER PKWY APT 102
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2601
Practice Address - Country:US
Practice Address - Phone:240-667-6055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCH LAB MOBILE PHLEBOTOMY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No253Z00000XAgenciesIn Home Supportive Care