Provider Demographics
NPI:1578376448
Name:FRANCOIS, JEREMIAH (PHLEBOTOMY TECH 1)
Entity type:Individual
Prefix:
First Name:JEREMIAH
Middle Name:
Last Name:FRANCOIS
Suffix:
Gender:
Credentials:PHLEBOTOMY TECH 1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 N MCCADDEN PL APT 1101
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-4678
Mailing Address - Country:US
Mailing Address - Phone:954-203-0584
Mailing Address - Fax:
Practice Address - Street 1:1714 N MCCADDEN PL APT 1101
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-4678
Practice Address - Country:US
Practice Address - Phone:954-203-0584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPT-02454084291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory