Organization Active NPI

Serenity Mobile Blood Services LLC

  • Phlebotomy Technician
  • Folsom, CA
National Provider Identifier
1437956992
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
SERENITY MOBILE BLOOD SERVICES LLC
Practice address
705 Gold Lake Dr Ste 250
Folsom, CA 95630-2599
Phone
(916) 226-1280
NPI assigned
Mar 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Hailey Bollis, CPT
Title
Co-Founder
Phone
(916) 226-1280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

705 Gold Lake Dr Ste 250
Folsom, CA 95630-2599

Mailing address

705 Gold Lake Dr Ste 250
Folsom, CA 95630-2599
Phone (916) 226-1280

Other names 1

  • Serenity Mobile Blood Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1437956992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GOLD LAKE DR STE 250",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302599",
            "telephone_number": "916-226-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GOLD LAKE DR STE 250",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302599",
            "telephone_number": "916-226-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MOBILE BLOOD SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "BOLLIS",
        "authorized_official_first_name": "HAILEY",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "916-226-1280",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Mobile Blood Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Mobile Blood Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.