Organization · NPI-2

1st. Stick Medical Draw Station

Clinical Medical Laboratory · Richmond, VA

NPI number1043736911
StatusActive
Last updated in NPPESSep 22, 2020

Details

NPI
1043736911
Entity type
Organization (NPI-2)
Legal business name
1st. Stick Medical Draw Station
Organization subpart
No
Enumeration date
Aug 22, 2017
Certification date
Sep 22, 2020
Last updated
Sep 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory246RP1900XVAYes

Other names

  • 1st. Stick Medical (Doing Business As)

Practice location

1405 Westover Hills Blvd Ste 1a
Richmond, VA 23225-3153

Phone 804-424-3260 · Fax 804-424-3261

Mailing address

4331 Bathgate Rd
Richmond, VA 23234-3581

Phone 804-549-9115

Authorized official

Telly Leshan Owens
Ceo
8044243260

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