Organization
PHLEBO LAB PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB S VALENTIN EMT, RN, CPI (OWNER)
(757) 302-5663
Entity
Organization
Contact information
Practice address
3082 BRICKHOUSE CT STE A, VIRGINIA BEACH, VA 23452-6859
(757) 302-5663
(757) 302-5458
Mailing address
5120 RICHARD RD, VIRGINIA BEACH, VA 23462-1802
(757) 305-5663
(757) 302-5458
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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