Organization Active NPI

West Mobile Phlebotomy Corporation

  • Phlebotomy Technician
  • Palm Bay, FL
National Provider Identifier
1215536214
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
WEST MOBILE PHLEBOTOMY CORPORATION
Practice address
807 Glencove Ave NW
Palm Bay, FL 32907-7036
Phone
(321) 272-0791
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Sabrina Smith, RNNPI 1821693417
Title
VP, Director of Clinical Services
Phone
(321) 806-9009

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

807 Glencove Ave NW
Palm Bay, FL 32907-7036

Mailing address

807 Glencove Ave NW
Palm Bay, FL 32907-7036
Phone (321) 272-0791

National Provider Directory

National Provider Directory

Locations

807 Glencove Ave NW
Palm Bay, FL 32907
Phone (321) 272-0791

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": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1215536214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 GLENCOVE AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077036",
            "telephone_number": "321-272-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 GLENCOVE AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077036",
            "telephone_number": "321-272-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MOBILE PHLEBOTOMY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "VP, DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "321-806-9009",
        "authorized_official_credential": "RN"
    },
    "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 Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.