Organization Active NPI

Convenient Care Mobile Phlebotomy Lab

  • Community Health Worker
  • Garfield HTS, OH
National Provider Identifier
1871036269
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
CONVENIENT CARE MOBILE PHLEBOTOMY LAB
Practice address
13381 Wolf Ave
Garfield HTS, OH 44125-3766
Phone
(216) 931-6222
NPI assigned
Dec 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Salice Berlin Hartfield, PHLEBOTOMIST
Title
Member
Phone
(216) 931-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X OH Primary

Addresses

Primary practice location

13381 Wolf Ave
Garfield HTS, OH 44125-3766

Mailing address

13381 Wolf Ave
Garfield HTS, OH 44125-3766
Phone (216) 931-6222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1871036269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13381 WOLF AVE",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441253766",
            "telephone_number": "216-931-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13381 WOLF AVE",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441253766",
            "telephone_number": "216-931-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT CARE MOBILE PHLEBOTOMY LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "HARTFIELD",
        "authorized_official_first_name": "SALICE",
        "authorized_official_middle_name": "BERLIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "216-931-6222",
        "authorized_official_credential": "PHLEBOTOMIST"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.