NPIMap

Organization Active NPI

Victor Mobile Phlebotomy Services LLC

  • Phlebotomy Technician
  • Port St Lucie, FL
National Provider Identifier
1235780503
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
VICTOR MOBILE PHLEBOTOMY SERVICES LLC
Practice address
221 SW Chapman Ave
Port St Lucie, FL 34984-4328
Phone
(772) 475-2033
Fax
(772) 207-5467
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Calvert Victor, MEDICAL ASSISTANCENPI 1720632839
Title
Mobile Phlebotomy Services
Phone
(772) 475-2033

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

221 SW Chapman Ave
Port St Lucie, FL 34984-4328

Mailing address

221 SW Chapman Ave
Port St Lucie, FL 34984-4328

National Provider Directory

National Provider Directory

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": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1235780503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SW CHAPMAN AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349844328",
            "fax_number": "772-207-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SW CHAPMAN AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349844328",
            "telephone_number": "772-475-2033",
            "fax_number": "772-207-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR MOBILE PHLEBOTOMY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "CALVERT",
        "authorized_official_title_or_position": "MOBILE PHLEBOTOMY SERVICES",
        "authorized_official_telephone_number": "772-475-2033",
        "authorized_official_credential": "MEDICAL ASSISTANCE"
    },
    "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 Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.