Phlebotomy Mobile Labs LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PHLEBOTOMY MOBILE LABS LLC

Practice address

3600 Pulaski Hwy
Baltimore, MD 21224-1534

Phone

(240) 229-7043

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Keisha DavisNPI 1487169157

Title

Ceo

Phone

(240) 229-7043

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keisha Davis, CPT

  • Phlebotomy Technician
  • Lanham, MD
  • NPI 1487169157
  NPD Authorized official

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1760004261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 DORCHESTER WOODS LN",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210762038",
            "telephone_number": "800-944-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 PULASKI HWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241534",
            "telephone_number": "240-229-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHLEBOTOMY MOBILE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-229-7043"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "1010 Caslon Way Apt 104",
            "city": "Hyattsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207855986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Philosophe, M.D.
• Elizabeth Philpot, RN
• Michael Schofield Phipps, M.D.
• Kristen Phiri, M.D.
• Phlebotech LLC
• Phlebotomy on Wheels
• Pho-Vital Signs
• Esther Phocole
• Erin Noel Phoebus, LCPC, LGPAT, ATR
• Phoegenesis, Inc

• Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.