Organization
WITH PURPOSE MOBILE PHLEBOTOMY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYVONIA WILSON (OWNER)
(262) 450-3615
Entity
Organization
Contact information
Practice address
11575 W THEO TREKR WAY STE 18, MILWAUKEE, WI 53214-1139
(262) 450-3615
Mailing address
11575 W THEO TREKR WAY STE 18, MILWAUKEE, WI 53214-1139
(262) 450-3615
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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