Organization
LEGENDARY MOBILE PHLEBOTOMY & LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKISHA HODGE (OWNER)
(602) 632-3104
Entity
Organization
Contact information
Practice address
8317 WEST MOHAVE STREET, TOLLESON, AZ 85353-8959
(602) 632-3104
Mailing address
8317 WEST MOHAVE STREET, TOLLESON, AZ 85353-8959
(602) 632-3104
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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