Provider Demographics
NPI:1376323444
Name:QUICK DRAW MOBILE PHLEBOTOMY SERVICES
Entity Type:Organization
Organization Name:QUICK DRAW MOBILE PHLEBOTOMY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-321-2317
Mailing Address - Street 1:103 W GEN SCREVEN WAY STE G
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-3053
Mailing Address - Country:US
Mailing Address - Phone:912-321-2317
Mailing Address - Fax:
Practice Address - Street 1:103 W GEN SCREVEN WAY STE G
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-3053
Practice Address - Country:US
Practice Address - Phone:912-321-2317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty