Provider Demographics
NPI:1730629585
Name:JUST STICKING AROUND
Entity type:Organization
Organization Name:JUST STICKING AROUND
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MOBILE PHLEBOTOMIST
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SZYMANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:ASPT CERTIFIED
Authorized Official - Phone:727-258-1541
Mailing Address - Street 1:115 CRAIG RD
Mailing Address - Street 2:
Mailing Address - City:MOORESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28114-9638
Mailing Address - Country:US
Mailing Address - Phone:727-258-1541
Mailing Address - Fax:
Practice Address - Street 1:115 CRAIG RD
Practice Address - Street 2:
Practice Address - City:MOORESBORO
Practice Address - State:NC
Practice Address - Zip Code:28114-9638
Practice Address - Country:US
Practice Address - Phone:727-258-1541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty