Provider Demographics
NPI:1578213971
Name:DOORSTEP LAB SERVICES
Entity Type:Organization
Organization Name:DOORSTEP LAB SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHLEBOTOMIST
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-299-3306
Mailing Address - Street 1:1810 NW 17TH ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-4933
Mailing Address - Country:US
Mailing Address - Phone:239-299-3306
Mailing Address - Fax:239-984-4691
Practice Address - Street 1:1810 NW 17TH ST
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33993-4933
Practice Address - Country:US
Practice Address - Phone:239-299-3306
Practice Address - Fax:239-984-4691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Single Specialty