Provider Demographics
NPI:1740763341
Name:HEALING HANDS MOBILE PHLEBOTOMY
Entity Type:Organization
Organization Name:HEALING HANDS MOBILE PHLEBOTOMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHLEBOTOMIST/MEDICAL ASSISTAN
Authorized Official - Prefix:MS
Authorized Official - First Name:ARIS
Authorized Official - Middle Name:MASHIS
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:215-397-1978
Mailing Address - Street 1:7812 RUGBY ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19150-2510
Mailing Address - Country:US
Mailing Address - Phone:215-397-1978
Mailing Address - Fax:
Practice Address - Street 1:7812 RUGBY ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19150-2510
Practice Address - Country:US
Practice Address - Phone:215-397-1978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty