Provider Demographics
NPI:1952042558
Name:HEALTHY STICKS MOBILE PHLEBOTOMY
Entity Type:Organization
Organization Name:HEALTHY STICKS MOBILE PHLEBOTOMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YASMINE
Authorized Official - Middle Name:JANAE
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:800-648-8149
Mailing Address - Street 1:1351 FAIRVIEW BLVD STE A
Mailing Address - Street 2:#1023
Mailing Address - City:DELRAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08075-1475
Mailing Address - Country:US
Mailing Address - Phone:800-648-8149
Mailing Address - Fax:
Practice Address - Street 1:1351 FAIRVIEW BLVD STE A
Practice Address - Street 2:#1023
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-1475
Practice Address - Country:US
Practice Address - Phone:800-648-8149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty