Active NPI
Labvitas LLC
- Phlebotomy Technician
- San Diego, CA
National Provider Identifier
1174149785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- LABVITAS LLC
- Practice address
- 878 Compass Way
San Diego, CA 92154-5839 - Phone
- (619) 359-7551
- Fax
- (619) 354-7311
- NPI assigned
- Jun 19, 2020
- 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
- Jonathan A Godes, CPT
- Title
- Phlebotomy Technician
- Phone
- (619) 359-7551
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
878 Compass Way
San Diego, CA 92154-5839
Mailing address
878 Compass Way
San Diego, CA 92154-5839
Phone (619) 359-7551
National Provider Directory
National Provider DirectoryPractitioners & 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": "1592524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592524800000",
"number": "1174149785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "878 COMPASS WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921545839",
"telephone_number": "619-359-7551",
"fax_number": "619-354-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "878 COMPASS WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921545839",
"telephone_number": "619-359-7551",
"fax_number": "619-354-7311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABVITAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-19",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A",
"authorized_official_last_name": "GODES",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHLEBOTOMY TECHNICIAN",
"authorized_official_telephone_number": "619-359-7551",
"authorized_official_credential": "CPT"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.