Provider Demographics
NPI:1548951379
Name:PHLEMEDIS INC
Entity type:Organization
Organization Name:PHLEMEDIS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIRREA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCPHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHLEBOTOMIST
Authorized Official - Phone:501-680-5554
Mailing Address - Street 1:46 GRAMATAN AVE # 127
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-1306
Mailing Address - Country:US
Mailing Address - Phone:501-680-5554
Mailing Address - Fax:
Practice Address - Street 1:7 BROAD ST W STE 207
Practice Address - Street 2:
Practice Address - City:FLEETWOOD
Practice Address - State:NY
Practice Address - Zip Code:10552-2100
Practice Address - Country:US
Practice Address - Phone:501-680-5554
Practice Address - Fax:888-711-7710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty