Provider Demographics
NPI:1265320667
Name:ON POINT MOBILE PHLEBOTOMY LLC
Entity type:Organization
Organization Name:ON POINT MOBILE PHLEBOTOMY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:PEEBLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-386-7117
Mailing Address - Street 1:602 CHURCH ST STE A
Mailing Address - Street 2:
Mailing Address - City:VIDALIA
Mailing Address - State:GA
Mailing Address - Zip Code:30474-4744
Mailing Address - Country:US
Mailing Address - Phone:912-386-7117
Mailing Address - Fax:912-307-1761
Practice Address - Street 1:602 CHURCH ST STE A
Practice Address - Street 2:
Practice Address - City:VIDALIA
Practice Address - State:GA
Practice Address - Zip Code:30474-4744
Practice Address - Country:US
Practice Address - Phone:912-386-7117
Practice Address - Fax:912-386-7118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory