Organization
VENOTECH PHLEBOTOMY
Active
Parent organization
VITAL IMAGE PHLEBOTOMY
Other names
Vital Image Phlebotomy
Organization subpart
Yes
Provider details
NPI number
Legal business name
VITAL IMAGE PHLEBOTOMY
Authorized official
TANYA A STOVALL (MANAGER)
(800) 645-9829
Entity
Organization
Contact information
Practice address
23330 OAK GLEN DR, SOUTHFIELD, MI 48033-3491
(800) 645-9829
Mailing address
23330 OAK GLEN DR, SOUTHFIELD, MI 48033-3491
(800) 645-9829
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
08/11/2019
Last updated
01/30/2020
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