Organization
CONCIERGE PROFESSIONAL PHLEBOTOMY SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER C RANDLE MLS, MSHA (DIRECTOR)
(901) 218-6769
Entity
Organization
Contact information
Practice address
2670 UNION AVENUE EXT STE 1216, MEMPHIS, TN 38112-4422
(901) 218-6769
Mailing address
6281 FISKE RD, BARTLETT, TN 38135-1107
(901) 218-6769
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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