Provider Demographics
NPI:1710633516
Name:TRAVELING PHLEBOTOMY SERVICES LLC
Entity Type:Organization
Organization Name:TRAVELING PHLEBOTOMY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHLEBOTOMIST
Authorized Official - Prefix:
Authorized Official - First Name:IRNA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-549-4130
Mailing Address - Street 1:7701 WESTWIND DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72113-9521
Mailing Address - Country:US
Mailing Address - Phone:240-549-4130
Mailing Address - Fax:479-668-4890
Practice Address - Street 1:7701 WESTWIND DR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72113-9521
Practice Address - Country:US
Practice Address - Phone:240-549-4130
Practice Address - Fax:479-668-4890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty