Phlebotomist on the Go LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PHLEBOTOMIST ON THE GO LLC

Practice address

10101 Rolan Meadows Dr
Van Buren TWP, MI 48111-8104

Phone

(586) 553-4550

NPI assigned

Dec 10, 2021

Organization subpart

No

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

Authorized official

Name

Lakiesha TerrellNPI 1093200313

Title

Owner

Phone

(586) 553-4550

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lakiesha Terrell

  • Chore Provider
  • Van Buren TWP, MI
  • NPI 1093200313
  NPD Authorized official

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1578222139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30550 GRATIOT AVE UNIT 54",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666703",
            "telephone_number": "586-553-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 ROLAN MEADOWS DR",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481118104",
            "telephone_number": "586-553-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHLEBOTOMIST ON THE GO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "LAKIESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-553-4550"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Odoemelam, NP
• Olga Christine Panagos, DDS
• Vimal Sureshchandra Patel, O.D.
• Vorice Patterson
• Daniela Perez
• Gerald Pinkston
• Purpose Professional PLLC
• Real Community Resources, LLC
• Cheryl L Reitz, MA, LPC
• Jennifer Ann Frances Rider, PHARM.D.

• Nursing Care Agency in Van Buren TWP, MI
• Providers in Van Buren TWP, MI by specialty
• Nursing Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.