Organization Active NPI

Elite Phlebotomy Services, Inc.

  • Clinic/Center
  • Eastvale, CA
National Provider Identifier
1407743933
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELITE PHLEBOTOMY SERVICES, INC.
Practice address
6157 Flagstaff Dr
Eastvale, CA 92880-4611
Phone
(562) 303-2924
Fax
(562) 222-3001
NPI assigned
Jun 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Kristy Edwards, PHLEBOTOMY LICENSE
Title
Owner
Phone
(909) 287-1692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6157 Flagstaff Dr
Eastvale, CA 92880-4611

Mailing address

12495 Limonite Ave # 1043
Eastvale, CA 91752-2457
Phone (909) 287-1692

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1407743933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12495 LIMONITE AVE # 1043",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917522457",
            "telephone_number": "909-287-1692",
            "fax_number": "562-222-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6157 FLAGSTAFF DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928804611",
            "telephone_number": "562-303-2924",
            "fax_number": "562-222-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHLEBOTOMY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-287-1692",
        "authorized_official_credential": "PHLEBOTOMY LICENSE"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.