Organization
BLOODLINE LAB MOBILE PHLEBOTOMY
Active
Other names
Bloodline Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD A VILLAFUERTE CPT (PRESIDENT/OWNER)
(408) 913-9233
Entity
Organization
Contact information
Practice address
830 STEWART DRIVE SUITE 229, SUNNYVALE, CA 94085
(408) 913-9233
(408) 913-3230
Mailing address
1111 W EL CAMINO REAL # 109-385, SUNNYVALE, CA 94087-1056
(408) 913-9233
(408) 913-9230
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT00013357
CA
Other
Enumeration date
07/21/2014
Last updated
07/29/2014
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