Provider Demographics
NPI:1255089025
Name:H.B. PHLEBOTOMY SERVICES LLC
Entity type:Organization
Organization Name:H.B. PHLEBOTOMY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:HAINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:512-294-4390
Mailing Address - Street 1:1511 LINDENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77630-2811
Mailing Address - Country:US
Mailing Address - Phone:512-294-4390
Mailing Address - Fax:
Practice Address - Street 1:1511 LINDENWOOD DR
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-2811
Practice Address - Country:US
Practice Address - Phone:512-294-4390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory