M&M Mobile Phlebotomy LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

M&M MOBILE PHLEBOTOMY LLC

Practice address

4696 Drexel St
Detroit, MI 48215-2005

Phone

(313) 644-0046

NPI assigned

Feb 28, 2023

Last updated

Feb 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Maleka Natrease Patrick, CPT

Title

Phlebotomist

Phone

(313) 644-0046

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1518666510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 SHELBY ST STE 700",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263282",
            "telephone_number": "313-644-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4696 DREXEL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152005",
            "telephone_number": "313-644-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M MOBILE PHLEBOTOMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "MALEKA",
        "authorized_official_middle_name": "NATREASE",
        "authorized_official_title_or_position": "PHLEBOTOMIST",
        "authorized_official_telephone_number": "313-644-0046",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.