Organization Active NPI

Bonded by Blood

  • Phlebotomy Technician
  • South Bend, IN
National Provider Identifier
1003745324
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
BONDED BY BLOOD
Practice address
3632 Lilac Rd
South Bend, IN 46628-3852
Phone
(574) 514-8635
NPI assigned
May 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shawniece Watson, CPT
Title
Owner/Employee
Phone
(574) 514-8635

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

3632 Lilac Rd
South Bend, IN 46628-3852

Mailing address

3632 Lilac Rd
South Bend, IN 46628-3852
Phone (574) 514-8635

National Provider Directory

National Provider Directory
Tax ID family
Bonded by Blood2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1003745324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 LILAC RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466283852",
            "telephone_number": "574-514-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 LILAC RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466283852",
            "telephone_number": "574-514-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONDED BY BLOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SHAWNIECE",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "574-514-8635",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.