Provider Demographics
NPI:1578332847
Name:GENTLE HANDS MOBILE PHLEBOTOMY & LAB SERVICES LLC
Entity Type:Organization
Organization Name:GENTLE HANDS MOBILE PHLEBOTOMY & LAB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:CPT1
Authorized Official - Phone:949-520-3548
Mailing Address - Street 1:2648 W BALL RD APT 107
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-5082
Mailing Address - Country:US
Mailing Address - Phone:949-520-3548
Mailing Address - Fax:
Practice Address - Street 1:2648 W BALL RD APT 107
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-5082
Practice Address - Country:US
Practice Address - Phone:949-200-2556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty