Williams Mobile Phlebotomy Service, LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

WILLIAMS MOBILE PHLEBOTOMY SERVICE, LLC

Practice address

4810 Humboldt Ave N
Minneapolis, MN 55430-3743

Phone

(763) 381-2078

Fax

(612) 353-5667

NPI assigned

Jun 11, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Wanda Latrice Williams Baugh, CMA (AAMA)NPI 1548763550

Title

Owner/Phlebotomist

Phone

(763) 381-2078

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.

• Wanda Latrice Williams Baugh

  • Phlebotomy Technician
  • Minneapolis, MN
  • NPI 1548763550
  NPD (past) Authorized official

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1144713587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22584",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554220584",
            "telephone_number": "763-381-2078",
            "fax_number": "612-353-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 HUMBOLDT AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554303743",
            "telephone_number": "763-381-2078",
            "fax_number": "612-353-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS MOBILE PHLEBOTOMY SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS BAUGH",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "OWNER/PHLEBOTOMIST",
        "authorized_official_telephone_number": "763-381-2078",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMA (AAMA)"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Rae Willey, RD, LD
• Jeffrey Peter Willging, M.D.
• Laurie Ann Willhite, PHARMD
• William H Percy LLC
• Wanda Latrice Williams Baugh
• Vignesh Williams Palaniappan, M.D.
• Anne Marie Williams-Wengerd, M.A.
• Abraham Agustin Williams, MD
• Alicia Williams
• Amanda Williams, ATC

• Phlebotomy Technician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Phlebotomy Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.