Organization
CENTRAL OREGON MOBILE PHLEBOTOMY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SCRIVEN (OWNER)
(541) 680-2001
Entity
Organization
Contact information
Practice address
1420 NE MABLE CT, BEND, OR 97701-3722
(541) 680-2001
Mailing address
1420 NE MABLE CT, BEND, OR 97701-3722
(541) 680-2001
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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