Provider Demographics
NPI:1801540307
Name:IN-HOME HEATH CARE PHLEBOTOMY SPECIMEN COLLECTION SERVICE LLC
Entity type:Organization
Organization Name:IN-HOME HEATH CARE PHLEBOTOMY SPECIMEN COLLECTION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATIONAL CERTIFIED PHLEBOTOMIST
Authorized Official - Prefix:
Authorized Official - First Name:PEARL
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:281-730-1381
Mailing Address - Street 1:3645 CYPRESS CREEK PKWY STE 252
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3625
Mailing Address - Country:US
Mailing Address - Phone:281-730-1381
Mailing Address - Fax:469-533-3797
Practice Address - Street 1:3645 CYPRESS CREEK PKWY STE 252
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3625
Practice Address - Country:US
Practice Address - Phone:281-730-1381
Practice Address - Fax:469-533-3797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesGroup - Single Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No331L00000XSuppliersBlood Bank