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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