Independent Phlebotomy Provider Group L.L.C.

Primary specialty

ContractorTaxonomy code 171W00000X

License

CPT19077 Issued in CA

Legal business name

INDEPENDENT PHLEBOTOMY PROVIDER GROUP L.L.C.

Practice address

1420 N Claremont Blvd
Suite #212B
Claremont, CA 91711-3528

Phone

(909) 482-4620

Fax

(909) 482-4623

NPI assigned

Dec 26, 2007

Last updated

Dec 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sheelah Zaske, CPT

Title

Owner/Director

Phone

(909) 482-4620

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1225212384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N CLAREMONT BLVD",
            "address_2": "SUITE #212B",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113528",
            "telephone_number": "909-482-4620",
            "fax_number": "909-482-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N CLAREMONT BLVD",
            "address_2": "SUITE #212B",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113528",
            "telephone_number": "909-482-4620",
            "fax_number": "909-482-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PHLEBOTOMY PROVIDER GROUP L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "ZASKE",
        "authorized_official_first_name": "SHEELAH",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "909-482-4620",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "CPT19077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Ann Hyvarinen, M.D.
• Sandra Sofia Ibarra, LCSW
• Antoinette Marie Kathol Ibrahimi, PSY.D.
• Peter T. Igler, DDS
• Jeffrey Ijadi, MD
• Ingenium Schools
• Inland Empire Medical Network
• Inland Psychiatric Medical Group, Inc
• Integrative Health Institutes, a Naturopathic Corporation (Integrative Health Institutes)
• Integrity Foundation

• Contractor in Claremont, CA
• Providers in Claremont, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.