Organization Active NPI

Primitis Mobile Examiners

  • Phlebotomy Technician
  • Yonkers, NY
National Provider Identifier
1790239192
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
286855-1 Issued in NY
Legal business name
PRIMITIS MOBILE EXAMINERS
Practice address
20 Stanley PL
Yonkers, NY 10705-1165
Phone
(929) 522-8054
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Robertine Williams, LPN
Title
Nurse
Phone
(929) 522-8054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X 286855-1 NY Primary

Addresses

Primary practice location

20 Stanley PL
Yonkers, NY 10705-1165

Mailing address

5997 Riverdale Ave
Bronx, NY 10471-1602
Phone (929) 522-8054

National Provider Directory

National Provider Directory

Locations

5997 Riverdale Ave
Bronx, NY 10471
Phone (718) 601-1900

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1790239192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5997 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711602",
            "telephone_number": "929-522-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 STANLEY PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051165",
            "telephone_number": "929-522-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMITIS MOBILE EXAMINERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROBERTINE",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "929-522-8054",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NY",
            "license": "286855-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.