Active NPI
Home Lab Services
- Phlebotomy Technician
- San Francisco, CA
National Provider Identifier
1629131511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- 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, 2020
- 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
- Vladyslav Bezruchko
- Title
- Owner
- Phone
- (415) 299-2225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 394809 | Other | CA | BUSINESS CERTIFICATE # |
National Provider Directory
National Provider DirectoryLocations
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.