NPIMap

Organization Active NPI

Jahbless Phlebotomy Services LLC

  • Phlebotomy Technician
  • Merritt Island, FL
National Provider Identifier
1679248272
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
JAHBLESS PHLEBOTOMY SERVICES LLC
Doing business as
Jahbless Phlebotomy Services LLC
Practice address
640 High Point CT
Merritt Island, FL 32952-4177
Phone
(321) 506-6621
NPI assigned
Aug 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Lisa Lyn DevinsNPI 1770156788
Title
Owner
Phone
(321) 506-6621

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 Primary

Addresses

Primary practice location

640 High Point CT
Merritt Island, FL 32952-4177

Mailing address

640 High Point CT
Merritt Island, FL 32952-4177
Phone (321) 506-6621

Other identifiers 1

IdentifierTypeStateIssuer
1770156788MedicaidFL

Other names 1

  • Jahbless Phlebotomy Services LLC Doing business as

Electronic endpoints 5

TypeEndpointUseAffiliation
Other URL Lcoverdevins@cfl.rr.com
Direct Messaging Address Jahbless@icloud.com
CONNECT URL Jahblessphle@icloud.com Direct
Direct Messaging Address Jahblessphle@icloud.com Direct
Direct Messaging Address Lcoverdevin@cfl.rr.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: lcoverdevin@cfl.rr.com

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": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1679248272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 HIGH POINT CT",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524177",
            "telephone_number": "321-506-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 HIGH POINT CT",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524177",
            "telephone_number": "321-506-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAHBLESS PHLEBOTOMY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "DEVINS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-506-6621"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770156788",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lcoverdevins@cfl.rr.com",
            "affiliation": "N",
            "address_1": "640 High Point Ct",
            "city": "Merritt Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329524177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jahbless@icloud.com",
            "affiliation": "N",
            "endpointDescription": "work",
            "address_1": "640 High Point Ct",
            "city": "Merritt Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329524177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jahblessphle@icloud.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "640 High Point Ct",
            "city": "Merritt Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329524177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jahblessphle@icloud.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "640 High Point Ct",
            "city": "Merritt Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329524177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lcoverdevin@cfl.rr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "640 High Point Ct",
            "city": "Merritt Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329524177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jahbless Phlebotomy Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.