NPIMap

Organization Active NPI

Phlebo Lab Professional Services

  • Phlebotomy Technician
  • Virginia Beach, VA
National Provider Identifier
1225757727
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
PHLEBO LAB PROFESSIONAL SERVICES
Practice address
3082 Brickhouse CT Ste a
Virginia Beach, VA 23452-6859
Phone
(757) 302-5663
Fax
(757) 302-5458
NPI assigned
Aug 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Jacob S Valentin, EMT, RN, CPINPI 1316619117
Title
Owner
Phone
(757) 302-5663

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary
Health Service Clinic/Center 261QH0100X
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

3082 Brickhouse CT Ste a
Virginia Beach, VA 23452-6859

Mailing address

5120 Richard Rd
Virginia Beach, VA 23462-1802
Phone (757) 305-5663

National Provider Directory

National Provider Directory

Locations

3082 Brickhouse Ct
Ste A
Virginia Beach, VA 23452
Phone (757) 302-5663

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": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1225757727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 RICHARD RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621802",
            "telephone_number": "757-305-5663",
            "fax_number": "757-302-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3082 BRICKHOUSE CT STE A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526859",
            "telephone_number": "757-302-5663",
            "fax_number": "757-302-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHLEBO LAB PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-302-5663",
        "authorized_official_credential": "EMT, RN, CPI"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.