Interstate Phlebotomy Services Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

INTERSTATE PHLEBOTOMY SERVICES INC

Practice address

3200 Drover LN
Darien, IL 60561-1642

Phone

(219) 746-6332

Fax

(219) 980-2995

NPI assigned

Jun 11, 2015

Organization subpart

No

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

Authorized official

Name

Sultan Ahmad Mirza

Title

President

Phone

(219) 746-6332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1033590427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 DROVER LN",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605611642",
            "telephone_number": "219-746-6332",
            "fax_number": "219-980-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DROVER LN",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605611642",
            "telephone_number": "219-746-6332",
            "fax_number": "219-980-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERSTATE PHLEBOTOMY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-746-6332"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela C Huang, M.D.
• Ruben Hueramo Jr.
• Anna-Julia Ignatov, RBT
• Illinois Injury & Rehab Centers, LTD
• Farwa Syed Imam, PHARMD.
• Janisley Jackson, RBT
• Makayla Syncere Jackson
• Sophia E Jaeger
• Maria Jandak
• Meagn Januszewski, ATC

• Point of Service in Darien, IL
• Providers in Darien, IL by specialty
• Point of Service in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.