Active NPI
Donna Pakula, LAB DIRECTOR
- Phlebotomy Technician
- Lake Havasu City, AZ
National Provider Identifier
1851157689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 1640 Palomino Lane
Lake Havasu City, AZ 86406 - Phone
- (815) 210-8388
- Fax
- (815) 534-4063
- NPI assigned
- Feb 28, 2024
- Last updated
- Feb 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
1640 Palomino Lane
Lake Havasu City, AZ 86406
Mailing address
7199 S Kingery Hwy Ste 1080
Willowbrook, IL 60527-5525
Phone (815) 210-8388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Vein Finders | Phlebotomy | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1851157689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7199 S KINGERY HWY STE 1080",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605275525",
"telephone_number": "815-210-8388",
"fax_number": "815-534-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 PALOMINO LANE",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "86406",
"telephone_number": "815-210-8388",
"fax_number": "815-534-4063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAKULA",
"first_name": "DONNA",
"credential": "LAB DIRECTOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.