Hemo-Stat Phlebotomy Services LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

HEMO-STAT PHLEBOTOMY SERVICES LLC

Practice address

14721 Beachview Terrece
Dolton, IL 60419

Phone

(708) 573-1665

Fax

(708) 996-0074

NPI assigned

Dec 8, 2020

Organization subpart

No

Name

Lakesa Jean Lee

Title

Phlebotomist

Phone

(708) 516-6243

• Year Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2021.

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1285230987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14721 BEACHVIEW TERRECE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "60419",
            "telephone_number": "708-516-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14721 BEACHVIEW TERRECE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "60419",
            "telephone_number": "708-573-1665",
            "fax_number": "708-996-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMO-STAT PHLEBOTOMY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LAKESA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHLEBOTOMIST",
        "authorized_official_telephone_number": "708-516-6243"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Year",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Year",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Phlebotomy Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.