Provider Demographics
NPI:1124898937
Name:GERIATRIC CARE AND VITALS CORP
Entity type:Organization
Organization Name:GERIATRIC CARE AND VITALS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHLEBOTOMIST
Authorized Official - Prefix:
Authorized Official - First Name:XHOZEF
Authorized Official - Middle Name:
Authorized Official - Last Name:PJETRI
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:646-763-5764
Mailing Address - Street 1:6053 WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-4641
Mailing Address - Country:US
Mailing Address - Phone:646-763-5764
Mailing Address - Fax:
Practice Address - Street 1:6053 WARREN AVE
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-4641
Practice Address - Country:US
Practice Address - Phone:646-763-5764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty