Organization Active NPI

Pinnacle Mobile Phlebotomy

  • Clinical Medical Laboratory
  • Farmington Hills, MI
National Provider Identifier
1609212760
Registry record updated Sep 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PINNACLE MOBILE PHLEBOTOMY
Practice address
27620 Farmington Rd
Unit B2
Farmington Hills, MI 48334-3349
Phone
(248) 702-5551
Fax
(877) 678-3727
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2016

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

Authorized official

Name
Tiffany MitchellNPI 1871926584
Title
Ceo
Phone
(248) 702-5551

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246RP1900X
Clinical Medical Laboratory 291U00000X Primary
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

27620 Farmington Rd
Unit B2
Farmington Hills, MI 48334-3349

Mailing address

PO Box 3452
Southfield, MI 48037-3452
Phone (248) 702-5551

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2061346Pinnacle Mobile Phlebotomy, LLC27620 Farmington Road Suite B2, Farmington Hills, MI 48334Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Locations

27620 Farmington Rd
Ste B2
Farmington Hills, MI 48334
Phone (248) 579-5814

Practitioners & 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": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474761600000",
    "number": "1609212760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3452",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480373452",
            "telephone_number": "248-702-5551",
            "fax_number": "877-678-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27620 FARMINGTON RD",
            "address_2": "UNIT B2",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343349",
            "telephone_number": "248-702-5551",
            "fax_number": "877-678-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MOBILE PHLEBOTOMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2016-09-25",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-702-5551"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.