| NPI | 1942700398 |
|---|---|
| Former Legal Business Name | FAR PHLEBOTOMY MOBILE SEVICES |
| Former Legal Business Name | F A R MOBILE PHLEBOTOMY SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | LASHONDA JOHNSON Owner 843-992-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |