Organization
BEVEL UP MOBILE PHLEBOTOMY SERVICES LLC
Active
Organization
BEVEL UP MOBILE PHLEBOTOMY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAVIS MANIGAULT (OWNER)
(843) 530-2411
Entity
Organization
Contact information
Practice address
1253 DICKSON AVE STE 109, HANAHAN, SC 29410-2853
(843) 779-4037
Mailing address
1253 DICKSON AVE STE 109, HANAHAN, SC 29410-2853
(843) 779-4037
(843) 608-7371
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
—
247200000X
Other Technician
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
302R00000X
Health Maintenance Organization
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
06/16/2026
Last updated
06/17/2026
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