Organization
PURPLE HEART MOBILE PHLEBOTOMY & LABORATORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRESCIA REEVES SOLE MBR (OWNER)
(804) 940-9171
Entity
Organization
Contact information
Practice address
2204 TUCKER LN APT B1, BALTIMORE, MD 21207-7839
(804) 940-9171
Mailing address
2204 TUCKER LN APT B1, BALTIMORE, MD 21207-7839
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/19/2025
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