Prostick Mobile Labs LLC
Organization Active NPI Phlebotomy Technician · Joshua, TX
NPI 1205526993 · NPPES record last updated May 9, 2023
Key facts
- NPI
- 1205526993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Phlebotomy Technician 246RP1900X
- Legal business name
- PROSTICK MOBILE LABS LLC
- Practice address
- 5909 Short Cake LN
Joshua, TX 76058-6402 - Phone
- (817) 933-2394
- Fax
- (817) 549-7848
- NPI assigned
- May 8, 2023
- Organization subpart
- No
Authorized official
- Name
- Rominique Palomino, PBT
- Title
- Owner/Ceo
- Phone
- (817) 933-2394
Practitioners 1
-
Rominique Renee Palomino, PHLEBOTOMIST
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230611000036 | TX | Part B Supplier - Independent Clinical Laboratory | 1153788864 | Practice locations: Joshua, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician |
246RP1900X | Yes |
Addresses
Primary practice location
5909 Short Cake LN
Joshua, TX 76058-6402
Mailing address
5909 Short Cake LN
Joshua, TX 76058-6402
Phone (817) 933-2394
Other providers in Joshua, TX
- Pecan Valley MHMR Region
- Perpetual Motion Rehabilitation PLLC
- Destiny Pinkston
- Mary Jane Pittman
- William Jeffrey Pool
- Raja Saade, MD PA
- Linda Jane Reed
- Reflections Mental Health and Wellness Center
- Donna Jean Rowland
- Tasha Bain Rudel-Barton
All providers in Joshua, TX · Phlebotomy Technician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.