Organization Active NPI

Pro Med Mobile Phlebotomy Services

  • Clinical Medical Laboratory
  • Katy, TX
National Provider Identifier
1366999815
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRO MED MOBILE PHLEBOTOMY SERVICES
Practice address
6800 Gaston Rd
Katy, TX 77494
Phone
(832) 273-1891
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
PROFESSIONAL MEDICAL TRAINING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Alicia Johnson, MA
Title
Director/Owner
Phone
(832) 273-1891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6800 Gaston Rd
Katy, TX 77494

Mailing address

6800 Gaston Rd
Katy, TX 77494

Other names 1

  • Professional Medical Training Services llc Former legal business name

National Provider Directory

National Provider Directory
Part of
Pro Med Mobile Phlebotomy Services

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1366999815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 GASTON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 GASTON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "832-273-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MED MOBILE PHLEBOTOMY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL MEDICAL TRAINING SERVICES",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "832-273-1891",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Medical Training Services llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.