Phlebotomy Geek Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PHLEBOTOMY GEEK LAB, LLC

Practice address

Phlebotomy Geek Lab LLC
19900 Governors Dr Ste 14
Olympia Fields, IL 60461-1057

Phone

(708) 372-0508

Fax

(855) 487-0292

NPI assigned

Apr 7, 2022

Organization subpart

No

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

Authorized official

Name

Toya Lynn BeattieNPI 1649693235

Title

Owner

Phone

(708) 506-3179

Specialties & licenses 1

Addresses

Tax ID family

Phlebotomy Geek Lab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Collective Health Spa, PLLC

  • Nutrition Education Nutritionist
  • Olympia Fields, IL
  • NPI 1891567863
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Toya Lynn Beattie

  • Phlebotomy Technician
  • Glenwood, IL
  • NPI 1649693235
  NPD Authorized official

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693094400000",
    "number": "1881335255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E MAPLE DR",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251438",
            "telephone_number": "708-372-0508",
            "fax_number": "855-487-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PHLEBOTOMY GEEK LAB LLC",
            "address_2": "19900 GOVERNORS DR STE 14",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611057",
            "telephone_number": "708-372-0508",
            "fax_number": "855-487-0292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Phlebotomy Geek Training LLC",
            "address_2": "19900 Governors Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604616046",
            "country_code": "US",
            "telephone_number": "708-372-0508",
            "fax_number": "855-487-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHLEBOTOMY GEEK LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2023-08-27",
        "certification_date": "2023-08-27",
        "status": "A",
        "authorized_official_last_name": "BEATTIE",
        "authorized_official_first_name": "TOYA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-506-3179"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiana Monique Perry, BCBA
• Personal Growth Center, LTD.
• Jacob Peschke, DO
• Bernadette Phan, DO
• Leslie Phillips
• Physical Therapy & Spine Institute Limited Partnership
• Jude L Pierre-Louis
• Monica D Pigato, C.R.N.A
• Alicia Rae Pinchok, DO
• Federico Pinto, MD

• Clinical Medical Laboratory in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2023; 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.