Organization Active NPI

Phlebotomy Ink Allied Healthcare Services LLC

  • Clinical Medical Laboratory
  • Birmingham, AL
National Provider Identifier
1437771052
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PHLEBOTOMY INK ALLIED HEALTHCARE SERVICES LLC
Practice address
1100 E Park Dr Ste 102
Birmingham, AL 35235-2563
Phone
(205) 582-9075
Fax
(205) 582-9079
NPI assigned
May 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Lakiya Jones
Title
Executive Director
Phone
(205) 582-9075

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Health Service Clinic/Center 261QH0100X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1100 E Park Dr Ste 102
Birmingham, AL 35235-2563

Mailing address

1100 E Park Dr Ste 102
Birmingham, AL 35235-2563
Phone (205) 582-9075

National Provider Directory

National Provider Directory

Locations

1512 Center Point Pkwy
Ste 203
Birmingham, AL 35215

1100 E Park Dr
Ste 102
Birmingham, AL 35235
Phone (205) 582-9075

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1437771052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E PARK DR STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352563",
            "telephone_number": "205-582-9075",
            "fax_number": "205-582-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E PARK DR STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352563",
            "telephone_number": "205-582-9075",
            "fax_number": "205-582-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHLEBOTOMY INK ALLIED HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LAKIYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-582-9075"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.