# ABQ MOBILE BLOOD SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164657144
- **Authorized official:** MR. JOSEPH ESCUDERO CPT (OWNER/OPERATOR)
- **Authorized official phone:** (505) 974-9177

## Contact information

- **Practice address:** 11101 FIESTA PARK NW, ALBUQUERQUE, NM 87114-5275
- **Practice address phone:** (505) 974-9177
- **Practice address fax:** (505) 508-2022
- **Mailing address:** 11101 FIESTA PARK NW, ALBUQUERQUE, NM 87114-5275
- **Mailing address phone:** (505) 974-9177
- **Mailing address fax:** (505) 508-2022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 20-0034R06 | MD | Yes |

## Other

- **Enumeration date:** 05/20/2009
- **Last updated:** 05/20/2009