Organization
OPTIVENA MOBILE PHLEBOTOMY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE LYNN MEZA (OWNER/PHLEBOTOMIST)
(602) 692-0527
Entity
Organization
Contact information
Practice address
22850 EAST MARSH ROAD, QUEEN CREEK, AZ 85142
(602) 345-1353
(623) 223-5413
Mailing address
PO BOX 9518, CHANDLER HEIGHTS, AZ 85127-9518
(602) 345-1353
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/29/2024
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