Employee Wellness Alliance

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

AAMA 2384367 Issued in IL

Legal business name

EMPLOYEE WELLNESS ALLIANCE

Practice address

13800 Nicollet Blvd
Suite 2252
Burnsville, MN 55337-6100

Phone

(952) 953-9940

Fax

(952) 236-6424

NPI assigned

Oct 15, 2012

Organization subpart

No

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

Authorized official

Name

Jill Marie Buffie

Title

Chief Executive Officer

Phone

(952) 953-9940

Specialties & licenses 1

Addresses

Other names 1

• Local Lab Doing business as

Locations

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1487906483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 NICOLLET BLVD",
            "address_2": "SUITE 2252",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376100",
            "telephone_number": "952-953-9940",
            "fax_number": "952-236-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 NICOLLET BLVD",
            "address_2": "SUITE 2252",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376100",
            "telephone_number": "952-953-9940",
            "fax_number": "952-236-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPLOYEE WELLNESS ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "BUFFIE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "952-953-9940"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "IL",
            "license": "AAMA 2384367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Local Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Phlebotomy Technician in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Phlebotomy Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.