Phlebotomy Connection, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PHLEBOTOMY CONNECTION, LLC

Practice address

3806 West 86TH St
Suite B
Indianapolis, IN 46268

Phone

(317) 702-2115

NPI assigned

Jan 18, 2013

Last updated

Jan 18, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

PHLEBOTOMY CONNECTIONAs reported in NPPES

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

Authorized official

Name

Mrs. Eve Annie Nichols

Title

Medical Laboratory Technician

Phone

(317) 702-2115

Specialties & licenses 1

Addresses

Part of

Phlebotomy Connection LLC

Locations

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1649518135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 BROOKVIEW DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "46112",
            "telephone_number": "317-702-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 WEST 86TH ST",
            "address_2": "SUITE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46268",
            "telephone_number": "317-702-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHLEBOTOMY CONNECTION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHLEBOTOMY CONNECTION",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "EVE",
        "authorized_official_middle_name": "ANNIE",
        "authorized_official_title_or_position": "MEDICAL LABORATORY TECHNICIAN",
        "authorized_official_telephone_number": "317-702-2115",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.