| NPI | 1295253987 |
|---|---|
| Doing Business As | TIDEWATER MOBILE PHLEBOTOMY SERVICE |
| Entity Type | Organization |
| Authorized Contact | CANDIDA DENISE SINGLETON Owner 877-366-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 49d2135077) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-09-01 |