NPIMap

Organization Active NPI

Johnson Healthcare Services

  • Phlebotomy Technician
  • Chicago, IL
National Provider Identifier
1649690280
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
D4B3A5A9 Issued in IL
Legal business name
JOHNSON HEALTHCARE SERVICES
Practice address
10916 S Sangamon St
Chicago, IL 60643-3836
Phone
(800) 641-6130
NPI assigned
Apr 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Ms. Donna M Johnson, PHLEBOTOMISTNPI 1780004317
Title
Owner/Operator
Phone
(800) 641-6130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X D4B3A5A9 IL Primary

Addresses

Primary practice location

10916 S Sangamon St
Chicago, IL 60643-3836

Mailing address

10916 S Sangamon St
Chicago, IL 60643-3836
Phone (800) 641-6130

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1649690280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10916 S SANGAMON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433836",
            "telephone_number": "800-641-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10916 S SANGAMON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433836",
            "telephone_number": "800-641-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "800-641-6130",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHLEBOTOMIST"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "IL",
            "license": "D4B3A5A9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.