Provider Demographics
NPI:1972071363
Name:RAPID RESULTS PHLEBOTOMY SERVICE LLC
Entity Type:Organization
Organization Name:RAPID RESULTS PHLEBOTOMY SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHLEBOTOMIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JERE
Authorized Official - Middle Name:E
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-723-0034
Mailing Address - Street 1:242 N ANTLERS PL
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-2780
Mailing Address - Country:US
Mailing Address - Phone:302-723-0034
Mailing Address - Fax:
Practice Address - Street 1:242 N ANTLERS PL
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-2780
Practice Address - Country:US
Practice Address - Phone:302-723-0034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory ManagementGroup - Multi-Specialty