Immediate Phlebotomy Service

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

200310R11 Issued in MD

Legal business name

IMMEDIATE PHLEBOTOMY SERVICE

Doing business as

I.P.S

Practice address

2002 S Mason Rd
1027
Katy, TX 77450-5924

Phone

(832) 794-7175

NPI assigned

Nov 1, 2012

Last updated

Nov 1, 2012By 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

Mr. Timothy Marc Petty, CERT. PHLEBOTOMISTNPI 1548534506

Title

C.E.O

Phone

(832) 794-7175

Specialties & licenses 1

Addresses

Other names 1

• I.P.S Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Marc Petty, LIC. PHLEBOTOMIST

  • Phlebotomy Technician
  • Katy, TX
  • NPI 1548534506
  NPD (past) Authorized official

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1538413240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 S MASON RD",
            "address_2": "1027",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505924",
            "telephone_number": "832-794-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 S MASON RD",
            "address_2": "1027",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505924",
            "telephone_number": "832-794-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE PHLEBOTOMY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "832-794-7175",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERT. PHLEBOTOMIST"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "200310R11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I.P.S",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Imade
• Karen Imala, LCSW
• Abieyuwa Imasuen, RBT
• Imenson Group LLC
• Stella Grace Immanuel, MD
• Juliet Aliletu Imouokhome
• Impassioned Home Health Care, LLC
• Imperial Digestive Health Specialists PLLC
• Mariyam Imtiaz, LCSW
• In My Heart Counseling and Psychological Services

• Clinical Medical Laboratory in Katy, TX
• Providers in Katy, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.