Provider Demographics
NPI:1578227385
Name:I.T. PHLEBOTOMY SOLUTIONS LLC
Entity Type:Organization
Organization Name:I.T. PHLEBOTOMY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISHEAR
Authorized Official - Middle Name:L
Authorized Official - Last Name:TOWNES
Authorized Official - Suffix:
Authorized Official - Credentials:PBT (ASCP)
Authorized Official - Phone:410-336-9338
Mailing Address - Street 1:218 E LEXINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3532
Mailing Address - Country:US
Mailing Address - Phone:410-336-9338
Mailing Address - Fax:
Practice Address - Street 1:218 E LEXINGTON ST STE 701
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3518
Practice Address - Country:US
Practice Address - Phone:410-504-7217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty