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Organization

PHLEBLAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RENEE DENISE BLACKMON CEO (CEO)
(216) 832-6764
Entity
Organization

Contact information

Practice address
464 RICHMOND RD, RICHMOND HTS, OH 44143-2792
(216) 832-6764
Mailing address
1536 SAINT CLAIR AVE NE, CLEVELAND, OH 44114-2004

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
174H00000X
Health Educator
175F00000X
Naturopath
246RP1900X
Phlebotomy Technician
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
12/27/2022
Last updated
08/13/2026
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