Organization Active NPI

Massey Mobile Phlebotomy Service LLC

  • Phlebotomy Technician
  • Saint Louis, MO
National Provider Identifier
1386228294
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
MASSEY MOBILE PHLEBOTOMY SERVICE LLC
Practice address
6439 Plymouth Ave Ste 110
Saint Louis, MO 63133-1940
Phone
(314) 281-9482
Fax
(314) 300-4055
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Saberra Massey-HillNPI 1972220317
Title
Owner
Phone
(314) 281-9482

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
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

6439 Plymouth Ave Ste 110
Saint Louis, MO 63133-1940

Mailing address

833 Elsworth PL
Ferguson, MO 63135-3127
Phone (314) 250-7206

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2244996Massey Mobile Phlebotomy Service LLC6439 Plymouth Ave Ste 122, Wellston, MO 63133Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

3801 Connecticut St
Saint Louis, MO 63116

6439 Plymouth Ave
Ste 110
Saint Louis, MO 63133
Phone (314) 281-9482

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": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1386228294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 ELSWORTH PL",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631353127",
            "telephone_number": "314-250-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6439 PLYMOUTH AVE STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631331940",
            "telephone_number": "314-281-9482",
            "fax_number": "314-300-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSEY MOBILE PHLEBOTOMY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "MASSEY-HILL",
        "authorized_official_first_name": "SABERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-281-9482"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.