NPIMap

Organization Active NPI

Az Home Phlebotomy Services

  • Phlebotomy Technician
  • Glendale, AZ
National Provider Identifier
1508109216
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
AZ HOME PHLEBOTOMY SERVICES
Practice address
7312 N 70TH Dr
Glendale, AZ 85303-2109
Phone
(602) 672-6479
NPI assigned
Apr 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Elena De'on McMullen
Title
Owner
Phone
(602) 672-6479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

7312 N 70TH Dr
Glendale, AZ 85303-2109

Mailing address

7312 N 70TH Dr
Glendale, AZ 85303-2109
Phone (602) 672-6479

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1508109216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7312 N 70TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032109",
            "telephone_number": "602-672-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7312 N 70TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032109",
            "telephone_number": "602-672-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ HOME PHLEBOTOMY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "DE'ON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-672-6479"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.