Provider Demographics
NPI:1649926635
Name:SMOOTHSTICKS MOBILE PHLEBOTOMY SERVICES
Entity type:Organization
Organization Name:SMOOTHSTICKS MOBILE PHLEBOTOMY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA CPT CPI
Authorized Official - Phone:816-330-5039
Mailing Address - Street 1:1914 NW COPPER OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-8300
Mailing Address - Country:US
Mailing Address - Phone:816-330-5039
Mailing Address - Fax:
Practice Address - Street 1:1914 NW COPPER OAKS CIR
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-8300
Practice Address - Country:US
Practice Address - Phone:816-330-5039
Practice Address - Fax:816-988-4910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory