Active NPI
Rosia B. Mobile Phlebotomy Services LLC
- Phlebotomy Technician
- West Seneca, NY
National Provider Identifier
1750104311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2310860 | Rosia B Mobile Phlebotomy Services LLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.