# BEVEL UP MOBILE PHLEBOTOMY LLC

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

## Provider details

- **NPI number:** 1659055887
- **Authorized official:** MR. MONDRAKUS HARPER (CPT)
- **Authorized official phone:** (314) 583-1477

## Contact information

- **Practice address:** 12565 EVENING SHADE DR, BLACK JACK, MO 63033-8513
- **Practice address phone:** (314) 583-1477
- **Practice address fax:** (314) 216-3926
- **Mailing address:** 12565 EVENING SHADE DR, BLACK JACK, MO 63033-8513
- **Mailing address phone:** (314) 583-1477
- **Mailing address fax:** (314) 216-3926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2023
- **Last updated:** 06/08/2023