Organization Active NPI

Patterson Phelbotomy LLC

  • Public Health & General Preventive Medicine Physician
  • Centerline, MI
National Provider Identifier
1689439366
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
PATTERSON PHELBOTOMY LLC
Practice address
8444 Engleman Street
128 Bed 2
Centerline, MI 48015
Phone
(158) 651-9775
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Dr. Robert Arness Patterson, MD,DO,CMA,CPT,PA
Title
Manager
Phone
(586) 519-7759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

8444 Engleman Street
128 Bed 2
Centerline, MI 48015

Mailing address

8444 Engleman
Center Line, MI 48015-1567
Phone (586) 519-7759

Other names 1

  • Patterson phlebotomy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Patterson Phelbotomy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8444 Engleman
#128
Center Line, MI 48015

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1689439366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8444 ENGLEMAN",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151567",
            "telephone_number": "586-519-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8444 ENGLEMAN STREET",
            "address_2": "128 BED 2",
            "city": "CENTERLINE",
            "state": "MI",
            "postal_code": "48015",
            "telephone_number": "158-651-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON PHELBOTOMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ARNESS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-519-7759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,DO,CMA,CPT,PA"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patterson phlebotomy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerline, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.