Provider Demographics
NPI:1972043016
Name:PINNACLE MOBILE PHLEBOTOMY SERVICE, LLC
Entity Type:Organization
Organization Name:PINNACLE MOBILE PHLEBOTOMY SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARBOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-979-8073
Mailing Address - Street 1:PO BOX 1823
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-1823
Mailing Address - Country:US
Mailing Address - Phone:972-979-8073
Mailing Address - Fax:
Practice Address - Street 1:1000 WINDSOR LN
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6564
Practice Address - Country:US
Practice Address - Phone:972-979-8073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty