Active NPI
South Jersey Phlebotomy Services, LLC
- Phlebotomy Technician
- Blackwood, NJ
National Provider Identifier
1124531405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- SOUTH JERSEY PHLEBOTOMY SERVICES, LLC
- Practice address
- 151 Fries Mill Rd Ste 506a
Blackwood, NJ 08012-2016 - Phone
- (856) 534-1702
- Fax
- (856) 352-0617
- NPI assigned
- Nov 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven A McComb
- Title
- Owner
- Phone
- (856) 534-1702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | NJ | Primary |
Addresses
Primary practice location
151 Fries Mill Rd Ste 506a
Blackwood, NJ 08012-2016
Mailing address
151 Fries Mill Rd Ste 506a
Blackwood, NJ 08012-2016
Phone (856) 534-1702
National Provider Directory
National Provider DirectoryLocations
151 Fries Mill Rd
Ste 506A
Blackwood, NJ 08012
Phone (856) 534-1702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1124531405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 FRIES MILL RD STE 506A",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080122016",
"telephone_number": "856-534-1702",
"fax_number": "856-352-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 FRIES MILL RD STE 506A",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080122016",
"telephone_number": "856-534-1702",
"fax_number": "856-352-0617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH JERSEY PHLEBOTOMY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-09",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MCCOMB",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-534-1702"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blackwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.