NPIMap

Organization Active NPI

Imperial Valley Mobile Phlebotomy

  • Phlebotomy Technician
  • El Centro, CA
National Provider Identifier
1376114546
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
IMPERIAL VALLEY MOBILE PHLEBOTOMY
Practice address
1621 Virginia LN
El Centro, CA 92243-9664
Phone
(442) 340-4706
NPI assigned
Jul 8, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Angelic Burgundi Cortes, CPTNPI 1952972184
Title
Owner/CPT
Phone
(442) 340-4706

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X NU Primary

Addresses

Primary practice location

1621 Virginia LN
El Centro, CA 92243-9664

Mailing address

1621 Virginia LN
El Centro, CA 92243-9664
Phone (442) 340-4706

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1376114546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 VIRGINIA LN",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439664",
            "telephone_number": "442-340-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 VIRGINIA LN",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439664",
            "telephone_number": "442-340-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL VALLEY MOBILE PHLEBOTOMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "ANGELIC",
        "authorized_official_middle_name": "BURGUNDI",
        "authorized_official_title_or_position": "OWNER/CPT",
        "authorized_official_telephone_number": "442-340-4706",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.