Provider Demographics
NPI:1891494985
Name:POWERSTIX PHLEBOTOMY CO LLC
Entity Type:Organization
Organization Name:POWERSTIX PHLEBOTOMY CO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LASONYA
Authorized Official - Middle Name:N
Authorized Official - Last Name:BARNES-HILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHLEBOTOMIST
Authorized Official - Phone:404-387-7859
Mailing Address - Street 1:3511 KERRIES CT
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-4339
Mailing Address - Country:US
Mailing Address - Phone:866-926-6114
Mailing Address - Fax:877-926-7386
Practice Address - Street 1:3511 KERRIES CT
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-4339
Practice Address - Country:US
Practice Address - Phone:877-926-6114
Practice Address - Fax:877-926-7386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory