Calico Mobile Phlebotomy LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CALICO MOBILE PHLEBOTOMY LLC

Practice address

2550 W Union Hills Dr
Phoenix, AZ 85027-5163

Phone

(833) 225-4262

NPI assigned

Jan 19, 2022

Organization subpart

No

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

Authorized official

Name

Rebecca Gaines, RMANPI 1710639919

Title

Medical Assistant/Phlebotomy

Phone

(623) 694-2148

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rebecca Gaines, RMA

  • Phlebotomy Technician
  • Phoenix, AZ
  • NPI 1710639919
  NPD Authorized official

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1063164267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W UNION HILLS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275163",
            "telephone_number": "833-225-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W UNION HILLS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275163",
            "telephone_number": "833-225-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALICO MOBILE PHLEBOTOMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT/PHLEBOTOMY",
        "authorized_official_telephone_number": "623-694-2148",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Calhoun, NP-C
• Janeria Rachelle Calhoun, ATC
• Stephanie Ann Calhoun
• Tanaiah Chanee Calhoun
• Arnold Barry Calica, M.D.
• Alin Vasile Calini, LPC
• Lidia Calini
• Karla Alexandra Calix, SLPA
• Cameron Call, DC
• Savannah Call

• Clinical Medical Laboratory in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.