Organization
BREEZE MOBILE PHLEBOTOMY & MORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABISHA JACKSON (CEO/PREDIDENT)
(203) 584-6033
Entity
Organization
Contact information
Practice address
157 CHURCH ST FL 19, NEW HAVEN, CT 06510-2100
(203) 584-6033
Mailing address
157 CHURCH ST FL 19, NEW HAVEN, CT 06510-2100
(203) 444-4833
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
246W00000X
Cardiology Technician
—
—
372500000X
Chore Provider
—
—
374700000X
Technician
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
10/11/2022
Last updated
10/27/2022
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