Phlebo Mobile Llc

LBN: Phlebo Mobile Llc
Phlebo Mobile Llc is an health care organization with primary practice located at 1305 Hutton Ave , Farmington NM 87402-7601. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as the primary health care specialty. Phlebo Mobile Llc can be contacted via phone (505) 330-6953, or through Charlie, Heather Rose via phone (505) 330-6953.

Contact Information

Primary practice address
1305 Hutton Ave Farmington NM 87402-7601
Phone: (505) 330-6953
Fax: (505) 258-4356
Website:
Map and Directions
Authorized official contact:
Name: Charlie, Heather Rose NCPT
Phone: (505) 330-6953

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X

Profile Details

NPI number 1770211260
LBN Legal business name Phlebo Mobile Llc
DBA Doing business as
Authorized official Charlie, Heather Rose NCPT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2022
Last updated Aug 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770211260 NPPES
New Mexico Other 6872409 NEW MEXICO SECRETARY OF STATE CERTIFICATE OF ORGANIZATION
New Mexico MEDICAID 76127052 NEW MEXICO SECRETARY OF STATE CERTIFICATE OF ORGANIZATION
New Mexico Other 22-00013318 NEW MEXICO SECRETARY OF STATE CERTIFICATE OF ORGANIZATION
New Mexico Other 1165083 NEW MEXICO SECRETARY OF STATE CERTIFICATE OF ORGANIZATION

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