Provider Demographics
NPI:1629831425
Name:ORDER OF DRAW PHLEBOTOMY SERVICES, LLC
Entity Type:Organization
Organization Name:ORDER OF DRAW PHLEBOTOMY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CPT,
Authorized Official - Phone:888-231-6498
Mailing Address - Street 1:231 SHORT ST
Mailing Address - Street 2:
Mailing Address - City:SARALAND
Mailing Address - State:AL
Mailing Address - Zip Code:36571-9438
Mailing Address - Country:US
Mailing Address - Phone:205-329-5027
Mailing Address - Fax:207-690-5245
Practice Address - Street 1:1111 E I65 SERVICE RD S STE 104-1077
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-3112
Practice Address - Country:US
Practice Address - Phone:888-231-6498
Practice Address - Fax:207-690-5245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy