Organization · NPI-2
1st Class Mobile Draw
Technician, Pathology, Phlebotomy · Country Club Hills, IL
NPI number1376388454
StatusActive
Last updated in NPPESJun 28, 2024
Details
- NPI
- 1376388454
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Class Mobile Draw
- Organization subpart
- No
- Enumeration date
- Jun 28, 2024
- Certification date
- Jun 28, 2024
- Last updated
- Jun 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246RP1900X | Technician, Pathology, Phlebotomy | – | – | Yes |
Practice location
4420 182nd PlCountry Club Hills, IL 60478-5033
Phone 773-321-8538
Mailing address
4420 182nd PlCountry Club Hills, IL 60478-5033
Authorized official
Raliyah Rhodes
Owner
7733218538
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