Southeast Texas Phlebotomy Institute, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOUTHEAST TEXAS PHLEBOTOMY INSTITUTE, INC.

Practice address

2263 North St
Beaumont, TX 77701-1552

Phone

(409) 813-8471

Fax

(409) 813-8471

NPI assigned

Feb 5, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Yvonne Jolivet

Title

Ceo/Executive Director

Phone

(409) 813-8471

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1104065705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 NORTH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777011552",
            "telephone_number": "409-813-8471",
            "fax_number": "409-813-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 NORTH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777011552",
            "telephone_number": "409-813-8471",
            "fax_number": "409-813-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS PHLEBOTOMY INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "JOLIVET",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "409-813-8471",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southeast Texas Optical, LLC
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• Southeast Texas Psychological Services, PLLC

• Clinical Medical Laboratory in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.