Organization Active NPI

The Mobile Phlebotomist LLC

  • Clinical Pathology Physician
  • Harvey, LA
National Provider Identifier
1851170609
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology PhysicianTaxonomy code 207ZC0006X
Legal business name
THE MOBILE PHLEBOTOMIST LLC
Practice address
1901 Manhattan Blvd BLDG D #3622
Harvey, LA 70058-3583
Phone
(504) 901-1017
NPI assigned
Sep 21, 2023
Last updated
Dec 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Tearea BernardNPI 1952092173
Title
Manager
Phone
(504) 261-3981

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
Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZC0006X Primary

Addresses

Primary practice location

1901 Manhattan Blvd BLDG D #3622
Harvey, LA 70058-3583

Mailing address

220 Megan LN
Slidell, LA 70458-6002
Phone (504) 261-3981

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2292957Mobile Phlebotomist, the1901 Manhattan Blvd, BLDG D #3622, Harvey, LA 70058Certificate of waiverOct 31, 2027

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1851170609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MEGAN LN",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704586002",
            "telephone_number": "504-261-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MANHATTAN BLVD BLDG D #3622",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583583",
            "telephone_number": "504-901-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOBILE PHLEBOTOMIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "TEAREA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-261-3981"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.