Provider Demographics
NPI:1134797319
Name:LITE TOUCH MOBILE PHLEBOTOMY SERVICE LLC
Entity type:Organization
Organization Name:LITE TOUCH MOBILE PHLEBOTOMY SERVICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIBELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALPHONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-385-1719
Mailing Address - Street 1:8815 168TH ST APT 5E
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-4307
Mailing Address - Country:US
Mailing Address - Phone:347-385-1719
Mailing Address - Fax:
Practice Address - Street 1:8815 168TH ST APT 5E
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4307
Practice Address - Country:US
Practice Address - Phone:347-385-1719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty