Precision Phlebotomy Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRECISION PHLEBOTOMY INC

Practice address

9241 S Roberts Rd
Hickory Hills, IL 60457-3809

Phone

(630) 809-9041

NPI assigned

Aug 15, 2020

Organization subpart

No

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

Authorized official

Name

Guadalupe Bocanegra, 14D2190321NPI 1699386235

Title

Owner

Phone

(630) 809-9041

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guadalupe Bocanegra

  • Phlebotomy Technician
  • Hickory Hills, IL
  • NPI 1699386235
  NPD Authorized official

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

{
    "created_epoch": "1597449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597449600000",
    "number": "1538770276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9241 S ROBERTS RD",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604573809",
            "telephone_number": "630-809-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9241 S ROBERTS RD",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604573809",
            "telephone_number": "630-809-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PHLEBOTOMY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-15",
        "last_updated": "2020-08-15",
        "certification_date": "2020-08-15",
        "status": "A",
        "authorized_official_last_name": "BOCANEGRA",
        "authorized_official_first_name": "GUADALUPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-809-9041",
        "authorized_official_credential": "14D2190321"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERT",
            "identifier": "14D2190321",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leona Dalia Petreikis, DDS
• Thomas Pettry
• Oanh J Pham, MD
• Pillars Community Health
• Pillars Community Health
• Prime Healthcare Agency LLC
• Abdelkhaliq Isam Qasem, MD
• Donna Ranjbar
• Adam Rasoul
• Vilja Dell Robinson, RN

• Clinical Medical Laboratory in Hickory Hills, IL
• Providers in Hickory Hills, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2020; 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.