Organization Active NPI

Labvitas LLC

  • Phlebotomy Technician
  • San Diego, CA
National Provider Identifier
1174149785
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
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

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Jonathan A Godes, CPTNPI 1861016958
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)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 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": "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.

Verify at the official NPI Registry.