Organization
BEVEL UP MOBILE PHLEBOTOMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONDRAKUS HARPER (CPT)
(314) 583-1477
Entity
Organization
Contact information
Practice address
12565 EVENING SHADE DR, BLACK JACK, MO 63033-8513
(314) 583-1477
(314) 216-3926
Mailing address
12565 EVENING SHADE DR, BLACK JACK, MO 63033-8513
(314) 583-1477
(314) 216-3926
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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