Organization Active NPI

Hands of Angels Phlebotomy School and Mobile Services LLC

  • Phlebotomy Technician
  • Gautier, MS
National Provider Identifier
1194379800
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
HANDS OF ANGELS PHLEBOTOMY SCHOOL AND MOBILE SERVICES LLC
Practice address
2625 Calle de Feliz St
Gautier, MS 39553-6848
Phone
(228) 623-0708
NPI assigned
Jul 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
Jessieca Danielle Sullivan
Title
Phlebotomist
Phone
(228) 623-0708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

2625 Calle de Feliz St
Gautier, MS 39553-6848

Mailing address

2625 Calle de Feliz St
Gautier, MS 39553-6848
Phone (228) 623-0708

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1194379800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 CALLE DE FELIZ ST",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395536848",
            "telephone_number": "228-623-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 CALLE DE FELIZ ST",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395536848",
            "telephone_number": "228-623-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS OF ANGELS PHLEBOTOMY SCHOOL AND MOBILE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JESSIECA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "PHLEBOTOMIST",
        "authorized_official_telephone_number": "228-623-0708"
    },
    "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 Gautier, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.