Organization Active NPI

Purple Heart Mobile Phlebotomy & Laboratory Services LLC

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Baltimore, MD
National Provider Identifier
1164394375
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
Legal business name
PURPLE HEART MOBILE PHLEBOTOMY & LABORATORY SERVICES LLC
Practice address
2204 Tucker LN Apt B1
Baltimore, MD 21207-7839
Phone
(804) 940-9171
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Latrescia Reeves, SOLE MBRNPI 1104627314
Title
Owner
Phone
(804) 940-9171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KI0005X Primary

Addresses

Primary practice location

2204 Tucker LN Apt B1
Baltimore, MD 21207-7839

Mailing address

2204 Tucker LN Apt B1
Baltimore, MD 21207-7839

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1164394375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 TUCKER LN APT B1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212077839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 TUCKER LN APT B1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212077839",
            "telephone_number": "804-940-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE HEART MOBILE PHLEBOTOMY & LABORATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "LATRESCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-940-9171",
        "authorized_official_credential": "SOLE MBR"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.