# MOBILE PHLEBOTOMIST SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mobile Phlebotomist Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043048523
- **Authorized official:** DIANA NEVAREZ PHLEBOTOMIST (CEO)
- **Authorized official phone:** (951) 973-6030

## Contact information

- **Practice address:** 962 OVERTON DR, SAN JACINTO, CA 92582-4250
- **Practice address phone:** (951) 973-6030
- **Practice address fax:** (951) 654-8600
- **Mailing address:** 962 OVERTON DR, SAN JACINTO, CA 92582-4250
- **Mailing address phone:** (951) 973-6030
- **Mailing address fax:** (951) 654-8600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156F00000X | Technician/Technologist | — | — | Yes |
| 251E00000X | Home Health Agency | — | — | — |

## Other

- **Enumeration date:** 07/25/2024
- **Last updated:** 11/30/2024