Provider Demographics
NPI:1649141193
Name:EASY DRAW PHLEBOTOMY SOLUTIONS LLC
Entity type:Organization
Organization Name:EASY DRAW PHLEBOTOMY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/ORGANIZER
Authorized Official - Prefix:MS
Authorized Official - First Name:PETAGALE
Authorized Official - Middle Name:ANASTASIA
Authorized Official - Last Name:OSBOURNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-842-5586
Mailing Address - Street 1:1152A BROADWAY # 1011
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2302
Mailing Address - Country:US
Mailing Address - Phone:347-842-5586
Mailing Address - Fax:
Practice Address - Street 1:1387 L ST
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-3706
Practice Address - Country:US
Practice Address - Phone:347-842-5586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory