Elite Mobile Phlebotomy
Technician, Pathology, Phlebotomy in Menifee, CA. Organization (NPI-2).
NPI number1245042001
StatusActive
Last updated in NPPESJan 20, 2025
Details
- NPI
- 1245042001
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Mobile Phlebotomy
- Organization subpart
- No
- Enumeration date
- Jan 20, 2025
- Certification date
- Jan 20, 2025
- Last updated
- Jan 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246RP1900X | Technician, Pathology, Phlebotomy | – | – | Yes |
Practice location
29229 Steamboat DrMenifee, CA 92585-2621
Phone 951-570-6579
Mailing address
29229 Steamboat DrMenifee, CA 92585-2621
Authorized official
Kaitlyn Rose Derouen
Owner/ Phlebotomist
9515706579
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