Organization
COMPLETE BLOOD COLLECTION MOBILE PHLEBOTOMY
Active
Organization
COMPLETE BLOOD COLLECTION MOBILE PHLEBOTOMY
Active
Other names
CBC Mobile Phlebotomy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GLENN COOK CPT 1 (OWNER/PHLEBOTOMIST)
(916) 692-5644
Entity
Organization
Contact information
Practice address
5306 HARRISON ST, NORTH HIGHLANDS, CA 95660-5414
(916) 692-5644
(916) 900-4497
Mailing address
5306 HARRISON ST, NORTH HIGHLANDS, CA 95660-5414
(916) 692-5644
(916) 900-4497
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
00024537
CA
291U00000X
Clinical Medical Laboratory
00026656
CA
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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