A & W Laboratories

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

A & W LABORATORIES

Practice address

3819 Warren Ave Apt 102
Bellwood, IL 60104-2058

Phone

(708) 543-9885

NPI assigned

Jun 27, 2012

Last updated

Jun 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Alischa Nakia Gwin-White

Title

Phlebotomist

Phone

(708) 543-9885

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1821352576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 WARREN AVE APT 102",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601042058",
            "telephone_number": "708-543-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 WARREN AVE APT 102",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601042058",
            "telephone_number": "708-543-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & W LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "GWIN-WHITE",
        "authorized_official_first_name": "ALISCHA",
        "authorized_official_middle_name": "NAKIA",
        "authorized_official_title_or_position": "PHLEBOTOMIST",
        "authorized_official_telephone_number": "708-543-9885",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phlebotomy Technician in Bellwood, IL
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• Phlebotomy Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.