Organization
PHILLIPS MOBILE LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NYTISHA MARIE DAVIS (OWNER)
(610) 245-7838
Entity
Organization
Contact information
Practice address
2942 N 24TH ST STE 114, PHOENIX, AZ 85016-7849
(866) 467-5227
(602) 584-5784
Mailing address
2942 N 24TH ST STE 114, PHOENIX, AZ 85016-7849
(866) 467-5227
(602) 584-5784
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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