Active NPI
Phlex Labs LLC
- Phlebotomy Technician
- Bloomfield Township, MI
National Provider Identifier
1619606183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- PHLEX LABS LLC
- Practice address
- 43996 Woodward Ave
Bloomfield Township, MI 48302-5027 - Phone
- (947) 208-0430
- NPI assigned
- Jun 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyla Stovall-Daniel
- Title
- Manager
- Phone
- (866) 745-3931
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary | ||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
43996 Woodward Ave
Bloomfield Township, MI 48302-5027
Mailing address
43996 Woodward Ave
Bloomfield Township, MI 48302-5027
National Provider Directory
National Provider DirectoryLocations
43996 Woodward Ave
Bloomfield Township, MI 48302
Phone (248) 332-4544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715644800000",
"number": "1619606183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43996 WOODWARD AVE",
"city": "BLOOMFIELD TOWNSHIP",
"state": "MI",
"postal_code": "483025027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43996 WOODWARD AVE",
"city": "BLOOMFIELD TOWNSHIP",
"state": "MI",
"postal_code": "483025027",
"telephone_number": "947-208-0430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHLEX LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-08",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A",
"authorized_official_last_name": "STOVALL-DANIEL",
"authorized_official_first_name": "TYLA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "866-745-3931"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.