Organization Active NPI

Lizzma LLC

  • Other Technician
  • Emeryville, CA
National Provider Identifier
1891507828
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
LIZZMA LLC
Practice address
1900 Powell St Ste 600
Emeryville, CA 94608-1885
Phone
(341) 400-1392
NPI assigned
Jan 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Olanrewaju Agbaje
Title
Manager
Phone
(341) 400-1392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X Primary

Addresses

Primary practice location

1900 Powell St Ste 600
Emeryville, CA 94608-1885

Mailing address

1900 Powell St Ste 600
Emeryville, CA 94608-1885
Phone (341) 400-1392

Other names 1

  • EasyDraw Mobile Phlebotomy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1891507828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 POWELL ST STE 600",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081885",
            "telephone_number": "341-400-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 POWELL ST STE 600",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081885",
            "telephone_number": "341-400-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZZMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-26",
        "status": "A",
        "authorized_official_last_name": "AGBAJE",
        "authorized_official_first_name": "OLANREWAJU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "341-400-1392"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EasyDraw Mobile Phlebotomy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emeryville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.