Provider Demographics
NPI:1760089353
Name:SPECIAL HANDS PHLEBOTOMY SERVICES LLC
Entity Type:Organization
Organization Name:SPECIAL HANDS PHLEBOTOMY SERVICES LLC
Other - Org Name:PHLEBOTOMIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHLEBOTOMIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-480-5437
Mailing Address - Street 1:8427 GRAMPELL DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32221-6613
Mailing Address - Country:US
Mailing Address - Phone:904-480-5437
Mailing Address - Fax:904-800-2625
Practice Address - Street 1:8427 GRAMPELL DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32221-6613
Practice Address - Country:US
Practice Address - Phone:904-480-5437
Practice Address - Fax:904-800-2625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty