Organization Active NPI

Independent Phlebotomy Services LLC

Doing business as Ips Laboratory

  • Clinical Medical Laboratory
  • Westerville, OH
National Provider Identifier
1205468204
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INDEPENDENT PHLEBOTOMY SERVICES LLC
Doing business as
Ips Laboratory
Practice address
623 Park Meadow Rd Ste L2833
Westerville, OH 43081-2876
Phone
(234) 521-0651
Fax
(330) 445-1715
NPI assigned
Feb 7, 2020
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Brenda Lee Robinette, CPT1/MANPI 1891353157
Title
Owner Operator
Phone
(234) 521-0651

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

623 Park Meadow Rd Ste L2833
Westerville, OH 43081-2876

Mailing address

PO Box 8545
Canton, OH 44711-8545
Phone (234) 521-0651

Other practice location 1

2833 Cleveland Ave NW
Canton, OH 44709-3203
Phone (234) 521-0651

Other names 1

  • IPS LABORATORY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250902001849 OH Part B Supplier - Independent Clinical Laboratory 0547761454 Practice locations: Westerville, OH

National Provider Directory

National Provider Directory

Locations

623 Park Meadow Rd
Ste L
Westerville, OH 43081
Phone (234) 521-0651

623 Park Meadow Rd
Ste L2833
Westerville, OH 43081
Phone (234) 521-0651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1205468204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8545",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447118545",
            "telephone_number": "234-521-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 PARK MEADOW RD STE L2833",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812876",
            "telephone_number": "234-521-0651",
            "fax_number": "330-445-1715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2833 Cleveland Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447093203",
            "country_code": "US",
            "telephone_number": "234-521-0651",
            "fax_number": "330-445-1715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDEPENDENT PHLEBOTOMY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "ROBINETTE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "234-521-0651",
        "authorized_official_credential": "CPT1/MA"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IPS LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.