National Provider Identifier Database

BLOODLINE LAB MOBILE PHLEBOTOMY
Phlebotomy


Contact Information

BLOODLINE LAB MOBILE PHLEBOTOMY
830 STEWART DRIVE SUITE 229
SUNNYVALE, CA94085
Phone: 408-913-9233
Fax: 408-913-3230
Website:
Specialty Taxonomy Code
* Phlebotomy 246RP1900X

* Indicates primary specialty

NPI Profile & details for BLOODLINE LAB MOBILE PHLEBOTOMY

NPI Number 1073920146
Legal business name
LBN
BLOODLINE LAB MOBILE PHLEBOTOMY
Authorized official LEONARD VILLAFUERTE - (PRESIDENT/OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/21/2014
Last updated 07/29/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: CPT00013357

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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