Provider Demographics
NPI:1104708528
Name:HEALTH CARE CONNECT MOBILE PHLEBOTOMY, LLC
Entity type:Organization
Organization Name:HEALTH CARE CONNECT MOBILE PHLEBOTOMY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-907-8973
Mailing Address - Street 1:6903 CHINOOK DR
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-1644
Mailing Address - Country:US
Mailing Address - Phone:509-907-8983
Mailing Address - Fax:
Practice Address - Street 1:909 AHTANUM RD
Practice Address - Street 2:
Practice Address - City:UNION GAP
Practice Address - State:WA
Practice Address - Zip Code:98903-1538
Practice Address - Country:US
Practice Address - Phone:509-907-8983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No253Z00000XAgenciesIn Home Supportive Care