Organization Active NPI

South Jersey Phlebotomy Services, LLC

  • Phlebotomy Technician
  • Blackwood, NJ
National Provider Identifier
1124531405
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.