Provider Demographics
NPI:1174804546
Name:CONEY'S ON THE GO COURIER & PHLEBOTOMY SERVICES LLC
Entity type:Organization
Organization Name:CONEY'S ON THE GO COURIER & PHLEBOTOMY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-660-4432
Mailing Address - Street 1:35356 FLEETWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70460-4210
Mailing Address - Country:US
Mailing Address - Phone:888-660-4432
Mailing Address - Fax:800-507-4922
Practice Address - Street 1:35356 FLEETWOOD DR
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70460-4210
Practice Address - Country:US
Practice Address - Phone:888-660-4432
Practice Address - Fax:800-507-4922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty