Active NPI
Venotech Phlebotomy
- Phlebotomy Technician
- Southfield, MI
National Provider Identifier
1548816135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- VENOTECH PHLEBOTOMY
- Practice address
- 23330 Oak Glen Dr
Southfield, MI 48033-3491 - Phone
- (800) 645-9829
- NPI assigned
- Aug 11, 2019
- Organization subpart
- Yes
- Parent organization
- VITAL IMAGE PHLEBOTOMY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tanya A Stovall
- Title
- Manager
- Phone
- (800) 645-9829
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
23330 Oak Glen Dr
Southfield, MI 48033-3491
Mailing address
23330 Oak Glen Dr
Southfield, MI 48033-3491
Phone (800) 645-9829
Other names 1
- Vital Image Phlebotomy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580342400000",
"number": "1548816135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23330 OAK GLEN DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333491",
"telephone_number": "800-645-9829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23330 OAK GLEN DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333491",
"telephone_number": "800-645-9829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VENOTECH PHLEBOTOMY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VITAL IMAGE PHLEBOTOMY",
"enumeration_date": "2019-08-11",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A",
"authorized_official_last_name": "STOVALL",
"authorized_official_first_name": "TANYA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "800-645-9829"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vital Image Phlebotomy",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Vital Image Phlebotomy",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.