Stick and Go Mobile Lab Services

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

STICK AND GO MOBILE LAB SERVICES

Practice address

2015 W Western Ave
South Bend, IN 46619-3544

Phone

(800) 820-8210

NPI assigned

Feb 28, 2025

Organization subpart

No

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

Authorized official

Name

Jazmine Brooks, CPTNPI 1396558912

Title

Travel Phlebotomist

Phone

(708) 714-4935

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jazmine Brooks, CPT

  • Phlebotomy Technician
  • South Bend, IN
  • NPI 1396558912
  NPD Authorized official

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1356148100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 S SHERIDAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466191858",
            "telephone_number": "708-714-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 W WESTERN AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466193544",
            "telephone_number": "800-820-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STICK AND GO MOBILE LAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JAZMINE",
        "authorized_official_title_or_position": "TRAVEL PHLEBOTOMIST",
        "authorized_official_telephone_number": "708-714-4935",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "331L00000X",
            "taxonomy_group": "",
            "desc": "Blood Bank",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396558912",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Anique Stevens
• Alanna K Stewart
• Jonathan S Stewart, OTR
• Joshua Stewart, CRNA
• Lyndy Stewart, RPT
• Kendall Elizabeth Stickel
• Jamie M. Stickley, AU.D.
• Jeremiah Stillwagon
• Barbara Ann Stitt, FNP
• Kurt H Stiver, MD

• Health Maintenance Organization in South Bend, IN
• Providers in South Bend, IN by specialty
• Health Maintenance Organization in Indiana

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