Organization Active NPI

Sanctified Hands Mobile Phlebotomy LLC

  • Clinical Medical Laboratory
  • Tampa, FL
National Provider Identifier
1780406298
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SANCTIFIED HANDS MOBILE PHLEBOTOMY LLC
Practice address
3750 Gunn Hwy Ste 306-D117
Tampa, FL 33618-8905
Phone
(800) 476-3171
NPI assigned
Oct 26, 2024
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Ms. Massieren Latoya Davis
Title
Authorized Representative
Phone
(888) 508-7517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3750 Gunn Hwy Ste 306-D117
Tampa, FL 33618-8905

Mailing address

3750 Gunn Hwy Ste 306-D117
Tampa, FL 33618-8905
Phone (800) 508-7517

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1780406298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 GUNN HWY STE 306-D117",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188905",
            "telephone_number": "800-508-7517",
            "fax_number": "813-682-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 GUNN HWY STE 306-D117",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188905",
            "telephone_number": "800-476-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTIFIED HANDS MOBILE PHLEBOTOMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-26",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MASSIEREN",
        "authorized_official_middle_name": "LATOYA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "888-508-7517",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.