Organization Active NPI

Rosia B. Mobile Phlebotomy Services LLC

  • Phlebotomy Technician
  • West Seneca, NY
National Provider Identifier
1750104311
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
ROSIA B. MOBILE PHLEBOTOMY SERVICES LLC
Practice address
40 Gardenville Pkwy Ste 114
West Seneca, NY 14224-1387
Phone
(716) 939-1776
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Candace Lattimore
Title
Owner
Phone
(716) 939-1776

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

40 Gardenville Pkwy Ste 114
West Seneca, NY 14224-1387

Mailing address

40 Gardenville Pkwy Ste 114
West Seneca, NY 14224-1387
Phone (716) 939-1776

Other names 1

  • Rosia B. Mobile Phlebotomy Services LLC Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2310860Rosia B Mobile Phlebotomy Services LLC40 Gardenville Pkwy - Suite 114, West Seneca, NY 14224Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1750104311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GARDENVILLE PKWY STE 114",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241387",
            "telephone_number": "716-939-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GARDENVILLE PKWY STE 114",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241387",
            "telephone_number": "716-939-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSIA B. MOBILE PHLEBOTOMY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "LATTIMORE",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-939-1776"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosia B. Mobile Phlebotomy Services LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rosia B. Mobile Phlebotomy Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.