Phlebotomy Direct, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PHLEBOTOMY DIRECT, LLC

Doing business as

Phlebotomy DIrect, LLC

Practice address

401 E Bishop St
Santa Ana, CA 92701-5937

Phone

(562) 972-4628

NPI assigned

Jun 26, 2020

Last updated

Jun 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Velia Regalado

Title

Owner/Coo

Phone

(714) 497-0497

Specialties & licenses 1

Addresses

Other names 1

• Phlebotomy DIrect, LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1629695432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8366",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927288366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E BISHOP ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015937",
            "telephone_number": "562-972-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHLEBOTOMY DIRECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "REGALADO",
        "authorized_official_first_name": "VELIA",
        "authorized_official_title_or_position": "OWNER/COO",
        "authorized_official_telephone_number": "714-497-0497"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "otherURL",
            "affiliation": "N",
            "address_1": "401 E Bishop St",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927015937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Phlebotomy DIrect, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.