Professional Phlebotomy Services LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

PROFESSIONAL PHLEBOTOMY SERVICES LLC

Practice address

204 Old Bay LN
Kissimmee, FL 34743-6135

Phone

(407) 434-9208

NPI assigned

Sep 27, 2019

Organization subpart

No

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

Authorized official

Name

Carmen D Llanos Padilla, MA, CPT, B.HLTH.SCINPI 1558912683

Title

Owner

Phone

(407) 434-9208

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmen D Llanos Padilla, MA, CPT, B.HLTH.SCI

  • Phlebotomy Technician
  • Kissimmee, FL
  • NPI 1558912683
  NPD Authorized official

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1013568328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 OLD BAY LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347436135",
            "telephone_number": "407-434-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 OLD BAY LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347436135",
            "telephone_number": "407-434-9208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Old Bay Ln",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347436135",
            "country_code": "US",
            "telephone_number": "407-434-9208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL PHLEBOTOMY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "LLANOS PADILLA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-434-9208",
        "authorized_official_credential": "MA, CPT, B.HLTH.SCI"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phlebotomy Technician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Phlebotomy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.