Provider Demographics
NPI:1437956992
Name:SERENITY MOBILE BLOOD SERVICES LLC
Entity type:Organization
Organization Name:SERENITY MOBILE BLOOD SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:HAILEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLLIS
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:916-226-1280
Mailing Address - Street 1:705 GOLD LAKE DR STE 250
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-2599
Mailing Address - Country:US
Mailing Address - Phone:916-226-1280
Mailing Address - Fax:
Practice Address - Street 1:705 GOLD LAKE DR STE 250
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-2599
Practice Address - Country:US
Practice Address - Phone:916-226-1280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty
No251J00000XAgenciesNursing CareGroup - Single Specialty