Bloodline Lab Mobile Phlebotomy

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

CPT00013357 Issued in CA

Legal business name

BLOODLINE LAB MOBILE PHLEBOTOMY

Practice address

830 Stewart Drive Suite 229
Sunnyvale, CA 94085

Phone

(408) 913-9233

Fax

(408) 913-3230

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Leonard A Villafuerte, CPTNPI 1215345103

Title

President/Owner

Phone

(408) 913-9233

Specialties & licenses 1

Addresses

Other names 1

• Bloodline Lab Other name

Locations

Practitioners 1

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

• Leonard Anthony Villafuerte

  • Phlebotomy Technician
  • Sunnyvale, CA
  • NPI 1215345103
  NPD (past) Authorized official

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1073920146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W EL CAMINO REAL # 109-385",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871056",
            "telephone_number": "408-913-9233",
            "fax_number": "408-913-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 STEWART DRIVE SUITE 229",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94085",
            "telephone_number": "408-913-9233",
            "fax_number": "408-913-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOODLINE LAB MOBILE PHLEBOTOMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "VILLAFUERTE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "408-913-9233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT00013357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloodline Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Galia Bitterman, M.S.
• Alecia Camille Blake, M.D., MPH
• Brianne Blakesley
• Gordon James Block, D.D.S.
• Andrea C Blonstein, RD, MBA
• Bloom Orthopedic Physical Therapy
• Blossoming Health
• BMT Acupuncture Clinic Inc
• David Bo, DDS
• Steven Bo, DDS

• Phlebotomy Technician in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.