Organization Active NPI

Home Lab Services

  • Phlebotomy Technician
  • San Francisco, CA
National Provider Identifier
1629131511
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
HOME LAB SERVICES
Practice address
2205 Post St
San Francisco, CA 94115-3427
Phone
(415) 299-2225
Fax
(415) 931-0905
NPI assigned
Dec 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vladyslav Bezruchko
Title
Owner
Phone
(415) 299-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X NU Primary

Addresses

Primary practice location

2205 Post St
San Francisco, CA 94115-3427

Mailing address

1554 19TH Ave
San Francisco, CA 94122-3417
Phone (141) 529-9222

Other identifiers 1

IdentifierTypeStateIssuer
394809OtherCABUSINESS CERTIFICATE #

National Provider Directory

National Provider Directory

Locations

2205 Post St
San Francisco, CA 94115
Phone (315) 256-4903

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629131511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 19TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223417",
            "telephone_number": "141-529-9222",
            "fax_number": "415-931-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 POST ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153427",
            "telephone_number": "415-299-2225",
            "fax_number": "415-931-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME LAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEZRUCHKO",
        "authorized_official_first_name": "VLADYSLAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "14152992225"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS  CERTIFICATE #",
            "identifier": "394809",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.