Organization
PHLEBOTOMY ON WHEELS
Active
Parent organization
PHLEBOTOMY ON WHEELS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHLEBOTOMY ON WHEELS
Authorized official
MRS. ADREA MICHELLE WITHERSPOON (CEO)
(443) 413-1144
Entity
Organization
Contact information
Practice address
4112 GLENARM AVE, BALTIMORE, MD 21206-2528
(443) 413-1144
Mailing address
4112 GLENARM AVE, BALTIMORE, MD 21206-2528
(443) 413-1144
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
20-0229R04
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-0229R04
NPA
MD
Enumeration date
08/03/2011
Last updated
08/03/2011
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