Provider Demographics
NPI:1447945134
Name:PHLE TRAINING CENTER LLC
Entity type:Organization
Organization Name:PHLE TRAINING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD PHLEBOTOMIST
Authorized Official - Prefix:
Authorized Official - First Name:TANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-247-3872
Mailing Address - Street 1:2117 ASHLEY DR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-5085
Mailing Address - Country:US
Mailing Address - Phone:478-247-3872
Mailing Address - Fax:
Practice Address - Street 1:2117 ASHLEY DR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-5085
Practice Address - Country:US
Practice Address - Phone:478-247-3872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty