Provider Demographics
NPI:1134019433
Name:DESERT PHLEBOTOMY, LLC.
Entity type:Organization
Organization Name:DESERT PHLEBOTOMY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONJI
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-299-2625
Mailing Address - Street 1:5501 S 14TH WAY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-3220
Mailing Address - Country:US
Mailing Address - Phone:602-299-2625
Mailing Address - Fax:602-241-2860
Practice Address - Street 1:4105 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-1021
Practice Address - Country:US
Practice Address - Phone:602-299-2625
Practice Address - Fax:602-241-2860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty