Organization
PHLEBOTOMY LUMINARIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAVARA JOHNSON (OWNER)
(202) 500-8565
Entity
Organization
Contact information
Practice address
3412 CURTIS DR APT 203, SUITLAND, MD 20746-4922
(202) 500-8565
Mailing address
3412 CURTIS DR APT 203, SUITLAND, MD 20746-4922
(202) 500-8565
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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