Provider Demographics
NPI:1992384069
Name:NEEDLES, SCRUBS, AND RUBBER GLOVES LLC
Entity Type:Organization
Organization Name:NEEDLES, SCRUBS, AND RUBBER GLOVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SAVOIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-904-5373
Mailing Address - Street 1:311 W RED BIRD LN
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-2133
Mailing Address - Country:US
Mailing Address - Phone:972-904-5373
Mailing Address - Fax:
Practice Address - Street 1:3425 CHIHUAHUA AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75212-2624
Practice Address - Country:US
Practice Address - Phone:972-904-5373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory