Provider Demographics
NPI:1689270829
Name:SOL PHLEBOTOMY AND TRANSPORTATION
Entity Type:Organization
Organization Name:SOL PHLEBOTOMY AND TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HUERTA LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-246-0429
Mailing Address - Street 1:313 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-2403
Mailing Address - Country:US
Mailing Address - Phone:971-246-0429
Mailing Address - Fax:
Practice Address - Street 1:1671 SW FELLOWS ST APT B
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-7307
Practice Address - Country:US
Practice Address - Phone:971-246-0429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty