Provider Demographics
NPI:1457058539
Name:NOBLE MOBILE PHLEBOTOMY SERVICES
Entity Type:Organization
Organization Name:NOBLE MOBILE PHLEBOTOMY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELOY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-476-5227
Mailing Address - Street 1:513 E JACKSON ST STE 322
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-6877
Mailing Address - Country:US
Mailing Address - Phone:956-467-5257
Mailing Address - Fax:956-625-5775
Practice Address - Street 1:513 E JACKSON ST STE 322
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6877
Practice Address - Country:US
Practice Address - Phone:195-646-7522
Practice Address - Fax:956-625-5775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty