NPIMap

Organization Active NPI

JC Mobile Phlebotomy Services, LLC

  • Phlebotomy Technician
  • Port Orange, FL
National Provider Identifier
1699391300
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
JC MOBILE PHLEBOTOMY SERVICES, LLC
Practice address
6047 Burgundy Ter
Port Orange, FL 32127-6785
Phone
(386) 872-2581
Fax
(386) 961-4401
NPI assigned
Jun 18, 2020
Last updated
Jun 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Ms. Janet Chace, CERTIFIED PHLEBOTOMYNPI 1760016604
Title
Ceo/Owner
Phone
(386) 872-2581

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 Technician 246RP1900X NU Primary

Addresses

Primary practice location

6047 Burgundy Ter
Port Orange, FL 32127-6785

Mailing address

PO Box 290474
Port Orange, FL 32129-0474
Phone (386) 872-2581

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1699391300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290474",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321290474",
            "telephone_number": "386-872-2581",
            "fax_number": "386-961-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 BURGUNDY TER",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321276785",
            "telephone_number": "386-872-2581",
            "fax_number": "386-961-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC MOBILE PHLEBOTOMY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "CHACE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "386-872-2581",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CERTIFIED PHLEBOTOMY"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.