Provider Demographics
NPI:1568865871
Name:MOBI-VAMP MOBILE PHLEBOTOMY SERVICES, L.L.C.
Entity Type:Organization
Organization Name:MOBI-VAMP MOBILE PHLEBOTOMY SERVICES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JONI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SOCHOCKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-709-6322
Mailing Address - Street 1:2080 W FLOWAGE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:WEST BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48661-9374
Mailing Address - Country:US
Mailing Address - Phone:989-709-6322
Mailing Address - Fax:989-701-2532
Practice Address - Street 1:2080 W FLOWAGE LAKE RD
Practice Address - Street 2:
Practice Address - City:WEST BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48661-9374
Practice Address - Country:US
Practice Address - Phone:989-709-6322
Practice Address - Fax:989-701-2532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty