Concierge Professional Phlebotomy Service, LLC

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

Legal business name

CONCIERGE PROFESSIONAL PHLEBOTOMY SERVICE, LLC

Practice address

2670 Union Avenue Ext Ste 1216
Memphis, TN 38112-4422

Phone

(901) 218-6769

NPI assigned

Nov 15, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer C Randle, MLS, MSHA

Title

Director

Phone

(901) 218-6769

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1861037699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6281 FISKE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381351107",
            "telephone_number": "901-218-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 UNION AVENUE EXT STE 1216",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124422",
            "telephone_number": "901-218-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE PROFESSIONAL PHLEBOTOMY SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "RANDLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "901-218-6769",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MLS, MSHA"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janet Condle, PTA
• Gregory Josef Condon, MD
• Crystal Conely
• Kerleska Conerly, LCSW
• Heather Marie Conklin, PHD

• Phlebology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Phlebology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.