Organization Active NPI

Sufficient Mobile Labs

  • Phlebotomy Technician
  • Bridgeport, CT
National Provider Identifier
1518699008
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
SUFFICIENT MOBILE LABS
Practice address
91 Marconi Ave
Bridgeport, CT 06606-6020
Phone
(203) 243-5416
NPI assigned
Jun 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Spontaneous Reed
Title
Mobile Phlebotomist
Phone
(203) 243-5416

Specialties & licenses 1

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

Addresses

Primary practice location

91 Marconi Ave
Bridgeport, CT 06606-6020

Mailing address

91 Marconi Ave
Bridgeport, CT 06606-6020
Phone (203) 243-5416

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1518699008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MARCONI AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066066020",
            "telephone_number": "203-243-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MARCONI AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066066020",
            "telephone_number": "203-243-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFICIENT MOBILE LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-18",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "SPONTANEOUS",
        "authorized_official_title_or_position": "MOBILE PHLEBOTOMIST",
        "authorized_official_telephone_number": "203-243-5416"
    },
    "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 Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.