Provider Demographics
NPI:1518676451
Name:PERFECT STICK MOBILE PHLEBOTOMY
Entity Type:Organization
Organization Name:PERFECT STICK MOBILE PHLEBOTOMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:818-267-7361
Mailing Address - Street 1:21400 BURBANK BLVD APT 233B14
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-7036
Mailing Address - Country:US
Mailing Address - Phone:818-267-7361
Mailing Address - Fax:
Practice Address - Street 1:5530 CORBIN AVE STE 322
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2965
Practice Address - Country:US
Practice Address - Phone:818-267-7361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty