Illinois Phlebotomy Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ILLINOIS PHLEBOTOMY SERVICES LLC

Doing business as

Illinois Phlebotomy Services

Practice address

916 Bluegrass LN
Plano, IL 60545-2109

Phone

(630) 788-3289

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victoria R Renaud

Title

Phlebotomist/Owner

Phone

(630) 788-3289

Specialties & licenses 1

Addresses

Other names 1

• ILLINOIS PHLEBOTOMY SERVICES Doing business as

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": "1396292801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 BLUEGRASS LANE",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "60545",
            "telephone_number": "630-788-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 BLUEGRASS LN",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "605452109",
            "telephone_number": "630-788-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS PHLEBOTOMY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "RENAUD",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHLEBOTOMIST/OWNER",
        "authorized_official_telephone_number": "630-788-3289"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ILLINOIS PHLEBOTOMY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Plano, IL
• Providers in Plano, IL by specialty
• Home Health Agency in Illinois

• 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.