Organization Active NPI

1St Class Mobile Draw

  • Phlebotomy Technician
  • Country Club Hills, IL
National Provider Identifier
1376388454
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
1ST CLASS MOBILE DRAW
Practice address
4420 182ND PL
Country Club Hills, IL 60478-5033
Phone
(773) 321-8538
NPI assigned
Jun 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Raliyah RhodesNPI 1760221659
Title
Owner
Phone
(773) 321-8538

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 TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

4420 182ND PL
Country Club Hills, IL 60478-5033

Mailing address

4420 182ND PL
Country Club Hills, IL 60478-5033

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.

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1376388454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 182ND PL",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 182ND PL",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785033",
            "telephone_number": "773-321-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CLASS MOBILE DRAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "RALIYAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-321-8538"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Country Club Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.