NPIMap

Organization Active NPI

Csa Phlebotomy, LLC

  • Clinical Medical Laboratory
  • Plymouth, MI
National Provider Identifier
1194208769
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CSA PHLEBOTOMY, LLC
Practice address
1326 S Main St
Plymouth, MI 48170-2253
Phone
(734) 686-7839
NPI assigned
Sep 10, 2018
Organization subpart
Yes
Parent organization
CSA PHLEBOTOMY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Authorized official

Name
Candi Starr AlongNPI 1215421870
Title
Owner/Clinical Lab Associate
Phone
(734) 686-7839

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 Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1326 S Main St
Plymouth, MI 48170-2253

Mailing address

1326 S Main St
Plymouth, MI 48170-2253
Phone (734) 686-7839

National Provider Directory

National Provider Directory
Part of
Csa Phlebotomy LLC

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": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1194208769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702253",
            "telephone_number": "734-686-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702253",
            "telephone_number": "734-686-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSA PHLEBOTOMY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CSA PHLEBOTOMY, LLC",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "ALONG",
        "authorized_official_first_name": "CANDI",
        "authorized_official_middle_name": "STARR",
        "authorized_official_title_or_position": "OWNER/CLINICAL LAB ASSOCIATE",
        "authorized_official_telephone_number": "734-686-7839"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.