NPIMap

Organization Active NPI

Arch Lab Mobile Phlebotomy

  • Clinical Medical Laboratory
  • Greenbelt, MD
National Provider Identifier
1346933488
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ARCH LAB MOBILE PHLEBOTOMY
Practice address
7830 Hanover Pkwy Apt 102
Greenbelt, MD 20770-2601
Phone
(240) 667-6055
NPI assigned
Jun 2, 2023
Organization subpart
Yes
Parent organization
ARCH LAB MOBILE PHLEBOTOMYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Archelius GerberNPI 1831804632
Title
Lab Tech Phlebotomist
Phone
(240) 667-6055

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7830 Hanover Pkwy Apt 102
Greenbelt, MD 20770-2601

Mailing address

7830 Hanover Pkwy Apt 102
Greenbelt, MD 20770-2601
Phone (240) 667-6055

Other names 1

  • ARCH LAB MOBILE PHLEBOTOMY Former legal business name

National Provider Directory

National Provider Directory
Part of
Arch Lab Mobile Phlebotomy

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": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1346933488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 HANOVER PKWY APT 102",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702601",
            "telephone_number": "240-667-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 HANOVER PKWY APT 102",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702601",
            "telephone_number": "240-667-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH LAB MOBILE PHLEBOTOMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCH LAB MOBILE PHLEBOTOMY",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "ARCHELIUS",
        "authorized_official_title_or_position": "LAB TECH PHLEBOTOMIST",
        "authorized_official_telephone_number": "240-667-6055"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARCH LAB MOBILE PHLEBOTOMY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARCH LAB MOBILE PHLEBOTOMY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.