Provider Demographics
NPI:1912861758
Name:GENTLE STICKSQ MOBILE PHLEBOTOMY SERVICES, LLC
Entity type:Organization
Organization Name:GENTLE STICKSQ MOBILE PHLEBOTOMY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SUCKIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-312-9281
Mailing Address - Street 1:5 DICKERSON RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT TABOR
Mailing Address - State:NJ
Mailing Address - Zip Code:07878-9245
Mailing Address - Country:US
Mailing Address - Phone:609-312-9281
Mailing Address - Fax:
Practice Address - Street 1:5 DICKERSON RD
Practice Address - Street 2:
Practice Address - City:MOUNT TABOR
Practice Address - State:NJ
Practice Address - Zip Code:07878-9245
Practice Address - Country:US
Practice Address - Phone:609-312-9281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-15
Last Update Date:2025-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health