Provider Demographics
NPI:1417381013
Name:PHLEBOTOMY CAREER TRAINING
Entity Type:Organization
Organization Name:PHLEBOTOMY CAREER TRAINING
Other - Org Name:GARDEN CITY MEDICAL SUPPLY COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:LYDIA
Authorized Official - Last Name:KIMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-826-2381
Mailing Address - Street 1:28050 FORD RD STE C
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-2967
Mailing Address - Country:US
Mailing Address - Phone:313-826-2381
Mailing Address - Fax:
Practice Address - Street 1:28050 FORD RD STE C
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-2967
Practice Address - Country:US
Practice Address - Phone:313-826-2381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI20127912332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies