Labone Mobile Phlebotomy Inc

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

LABONE MOBILE PHLEBOTOMY INC

Practice address

4701 E 13TH PL
Gary, IN 46403-3733

Phone

(219) 302-4331

NPI assigned

Dec 2, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Khawanda Boyd, PHLEBOTOMISTNPI 1467837955

Title

Administrator

Phone

(219) 302-4331

Specialties & licenses 1

Addresses

Practitioners 1

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

• Khawanda Kim Boyd, PBT

  • Phlebotomy Technician
  • Gary, IN
  • NPI 1467837955
  NPD Authorized official

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1205431848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 E 13TH PL",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464033733",
            "telephone_number": "219-302-4331",
            "fax_number": "219-888-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 E 13TH PL",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464033733",
            "telephone_number": "219-302-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABONE MOBILE PHLEBOTOMY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "KHAWANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-302-4331",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHLEBOTOMIST"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Adjetey Kuma, M.D.
• Phillip James Kunz, M.D.
• Jihan La Broi
• Colette Labeaux
• Lablife Phlebotomy Services, LLC
• Labour of Love Healing Hands LLC
• Lamont Labroi
• Beverly Ann Lackey, REGISTERED NURSE
• Lake County Hospitalists, LLC
• Lake County Walker Medical

• Phlebotomy Technician in Gary, IN
• Providers in Gary, IN by specialty
• Phlebotomy Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.