Independent Phlebotomy Services

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

INDEPENDENT PHLEBOTOMY SERVICES

Practice address

977 Gardenia Dr
Daytona Beach, FL 32117-4838

Phone

(386) 677-8338

Fax

(386) 673-5729

NPI assigned

Jun 7, 2019

Organization subpart

No

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

Authorized official

Name

Mary Jane Newsome, RN

Title

Ceo

Phone

(386) 677-8338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1548829179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 GARDENIA DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174838",
            "telephone_number": "386-677-8338",
            "fax_number": "386-673-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 GARDENIA DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174838",
            "telephone_number": "386-677-8338",
            "fax_number": "386-673-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PHLEBOTOMY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-677-8338",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Technician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Other Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.