Provider Demographics
NPI:1871989673
Name:ACCURATE STICK MOBILE PHLEBOTOMY SERVICES
Entity type:Organization
Organization Name:ACCURATE STICK MOBILE PHLEBOTOMY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:YACOBENAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-740-3026
Mailing Address - Street 1:2830 W CLEMENTINE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19132-1234
Mailing Address - Country:US
Mailing Address - Phone:215-740-3026
Mailing Address - Fax:
Practice Address - Street 1:2830 W CLEMENTINE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-1234
Practice Address - Country:US
Practice Address - Phone:215-740-3026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty