Organization Active NPI

Phlebtech Mobile Diagnostics

  • Phlebotomy Technician
  • East Aurora, NY
National Provider Identifier
1801579263
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
PHLEBTECH MOBILE DIAGNOSTICS
Practice address
372 Maple Rd
East Aurora, NY 14052-1455
Phone
(919) 339-7860
NPI assigned
Aug 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Ernestine Shanika Bryant, CPT, ASCPNPI 1942937354
Title
Phlebotomist
Phone
(919) 339-7860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

372 Maple Rd
East Aurora, NY 14052-1455

Mailing address

372 Maple Rd
East Aurora, NY 14052-1455
Phone (919) 339-7860

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1801579263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 MAPLE RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521455",
            "telephone_number": "919-339-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 MAPLE RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521455",
            "telephone_number": "919-339-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHLEBTECH MOBILE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "ERNESTINE",
        "authorized_official_middle_name": "SHANIKA",
        "authorized_official_title_or_position": "PHLEBOTOMIST",
        "authorized_official_telephone_number": "919-339-7860",
        "authorized_official_credential": "CPT, ASCP"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.