Organization Active NPI

MSD Mobile Blood Draw, LLC

  • Phlebotomy Technician
  • Pacifica, CA
National Provider Identifier
1508735952
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
MSD MOBILE BLOOD DRAW, LLC
Practice address
420 Lomond Dr
Pacifica, CA 94044-2041
Phone
(415) 806-2772
NPI assigned
Nov 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Miriam S Desiderio, CPT
Title
Certified Phlebotomist Technician
Phone
(415) 806-2772

Specialties & licenses 1

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

Addresses

Primary practice location

420 Lomond Dr
Pacifica, CA 94044-2041

Mailing address

420 Lomond Dr
Pacifica, CA 94044-2041
Phone (415) 806-2772

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1508735952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LOMOND DR",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442041",
            "telephone_number": "415-806-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LOMOND DR",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442041",
            "telephone_number": "415-806-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSD MOBILE BLOOD DRAW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "DESIDERIO",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CERTIFIED PHLEBOTOMIST TECHNICIAN",
        "authorized_official_telephone_number": "415-806-2772",
        "authorized_official_credential": "CPT"
    },
    "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 Pacifica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.