| NPI | 1912581059 |
|---|---|
| Former Legal Business Name | PEDIATRIC PHLEBOTOMY ENHANCED LLC |
| Entity Type | Organization |
| Authorized Contact | EVELYN L DELONEY Owner 612-594-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |