Organization
INTERSTATE PHLEBOTOMY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SULTAN AHMAD MIRZA (PRESIDENT)
(219) 746-6332
Entity
Organization
Contact information
Practice address
3200 DROVER LN, DARIEN, IL 60561-1642
(219) 746-6332
(219) 980-2995
Mailing address
3200 DROVER LN, DARIEN, IL 60561-1642
(219) 746-6332
(219) 980-2995
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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