Provider Demographics
NPI:1881004471
Name:QUICC EXPRESS MOBILE PHLEBOTOMY
Entity Type:Organization
Organization Name:QUICC EXPRESS MOBILE PHLEBOTOMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHLEBOTOMY
Authorized Official - Phone:713-836-2883
Mailing Address - Street 1:6724 KITTRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77028-3031
Mailing Address - Country:US
Mailing Address - Phone:713-836-2883
Mailing Address - Fax:
Practice Address - Street 1:6724 KITTRIDGE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77028
Practice Address - Country:US
Practice Address - Phone:713-836-2883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory