Independent Phlebotomy Provider Group L.l.c.

NPI 1225212384 - Contractor - 171W00000X

NPI Details
NPI 1225212384
Enumeration Date 12/26/2007
Last Updated 12/26/2007
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SHEELAH SHEELAH
Position OWNER/DIRECTOR
Phone (909) 482-4620
Fax (909) 482-4623
Practice Location
1420 N CLAREMONT BLVD
SUITE #212B
CLAREMONT CA, 91711-3528, US
Phone (909) 482-4620
Fax (909) 482-4623
Business Location
1420 N CLAREMONT BLVD
SUITE #212B
CLAREMONT CA, 91711-3528, US
Phone (909) 482-4620
Fax (909) 482-4623
Toxanomy
Taxonomy Code 171W00000X
License State California
License Number CPT19077
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According to our database, Independent Phlebotomy Provider Group L.l.c. NPI is 1225212384, taxonomy code is 171W00000X and license number is CPT19077, license state is located at California. Independent Phlebotomy Provider Group L.l.c. physically located at 1420 N Claremont Blvd, Claremont CA, 91711-3528. NPI Number 1033115704 has the healthcare provider type.

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1225212384 NPI number is provided on an as is basis without warranty of any kind. 1225212384 is maintained by the National Plan & Provider Enumeration System. The contents of Independent Phlebotomy Provider Group L.l.c. are for informational purposes only.