Provider Demographics
NPI:1295560621
Name:PHLEBCARE, LLC
Entity type:Organization
Organization Name:PHLEBCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TEEJAY
Authorized Official - Middle Name:G
Authorized Official - Last Name:SUNGLAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-358-9612
Mailing Address - Street 1:1925 SKY HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92139-1025
Mailing Address - Country:US
Mailing Address - Phone:757-358-9612
Mailing Address - Fax:
Practice Address - Street 1:1925 SKY HARBOR RD.
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92139
Practice Address - Country:US
Practice Address - Phone:888-959-9382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty