Elite Mobile Phlebotomy

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

ELITE MOBILE PHLEBOTOMY

Practice address

29229 Steamboat Dr
Menifee, CA 92585-2621

Phone

(951) 570-6579

NPI assigned

Jan 20, 2025

Organization subpart

No

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

Authorized official

Name

Kaitlyn Rose Derouen

Title

Owner/ Phlebotomist

Phone

(951) 570-6579

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1245042001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29229 STEAMBOAT DR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925852621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29229 STEAMBOAT DR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925852621",
            "telephone_number": "951-570-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MOBILE PHLEBOTOMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "DEROUEN",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/ PHLEBOTOMIST",
        "authorized_official_telephone_number": "951-570-6579"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phlebotomy Technician in Menifee, CA
• Providers in Menifee, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.